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Detail Report-Plmb-Camden Thu May 5, 2022 10:16 AM PERMITS MASTER Page 1 Permit # PL-2021-00245 Prop. Location COUNTY ROAD P27 11705 Contractor CAMDEN EXCAVATING Status Complete Total Fees 40.00 Contact CAMDEN EXCAVATING Application Date 6/30/2021 Paid Amount 40.00 Applicant CAMDEN EXCAVATING Appl Expire Date 6/30/2023 Balance Due Owner HANSEN DALE Approval Date 6/30/2021 Valuation Permit Type PLUMBING Issued Date 6/30/2021 Cost of Work Description1 Septic for new residential Completed Date 7/08/2021 Insurance Amt Description2 house. Denial/With Date Number of Bldgs Subdivision Expire Date Number of Units Type of Use PLUMBING Days to Correct Zone RES MULTI-FAM LOW DENSITY Lot Number 53 Receipt Number 56,190 Sub Type RESIDENTIAL Block Number ------------------------------------------------------------------------------------------------------------------------------------ Quantity Description Fees Due ------------------------------------------------------------------------------------------------------------------------------------ 1 PERMIT ISSUANCE FEE 25.00 1 SEPTIC TANK & LATERALS 15.00 ------------------------------------------------------------------------------------------------------------------------------------ Inspection Inspector Inspect Dt Time Pass/Fail Violation Code ------------------------------------------------------------------------------------------------------------------------------------ SEPTIC DRAWING & PERC TES SHELLY JONES 6/30/2021 Pass SEPTIC SERVICE ETHAN ROE 7/08/2021 3:19 PM Pass FINAL ETHAN ROE 7/08/2021 3:19 PM Pass PEIQRYR207.01.21 City of Blair NE OPER:SJ