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BP7164OCAT~ON 1~ ~P~~a G PERM f Blair, Nebrask UILDIN ~-t o ~ ~.~ ~ Jurisdic218 South 16th Street 68008 Perm-~ 1 q~ ~ 5 d ~ Blair, Nebrask4191 402) 426- S©,~a ~ permit Fee: $ ~-2Z-~~ Issue Date: J-o?o -~l~ AppllCatlOrt date: ~ SEEATrACHEDSHEET ,_ PHONE ~~~~~ ~ ~/ TRACT ~y ' SOB ADD~S~ r~ / , r1 B~ `_,, ZrP /J ~ (j,~ LICENSE ND. / (rv ADDRESS r,(~ ,ro2 `~ -~J ~0~-'S LEGAL LOT NO. 6 ~ Gr PHONE ' ~ ~~Q ~ ~ `f 1 • DESCR. 2.OW ~}..~ `~ MAIL ADDRESS ~~vu~ ~ 5U ~ ~ ~ REMOVE 3• CONTRACTOR ~ ~ ~ MOVE REPAIR. USE OF BUILDING ALTERATION 4, ~ ADDITION ' 5, Class of Work: ^ NEW _ g, Describe Work: Change of Use To: S ,Footage of Structure p~~luaingBasem°"'aOaGara9e)~ 7. a 8• Change of Use From: Elev.cer1. .~ Dr ° ~ Dev. Pe~mil lete Plans Attached g• Valuation of Work: $ ~ ~ Comp FlooaWey Yeses N0 ~ BFE Site Plan Attached ^ No ~ letion Date 10• Floodplain: F,;~ee Yes^ Approximate co'n pections Required and Fees ND^ Utthties 11. Current Zoning: ~ Water Tap arshall Required: Yes No ~ Sewer Tap Water Service 12. State Fire M aired: Yes ^ Sewer Remote 13. Special Use Permit Req No^ Septic aired: Yes Rear Building 14. Variance Req Side ~ D~all/ 15. Minimum Setbacks: Front ~ wajVer Approved - Footings (before finish) u-red.Yes^ ROVE FORT Final ~ 16. Sidewalk Req _ ~Pc'~,,; ED BY PU+NSCHECKEDBY Framing ~~l ~ler APPLICATION ACCEPT Electrical NOTICE ventilating and air condi- l~mbing,heating, a that payment o1 the aired for electrical, p - acknowledg ermit. I further Permanent Seryice ~ Separate permits are s e s lay mY signature below, Rough•in ~ Temporary Serv-ce ~ p licationiee does not constitute issuan ee of this bail In9 and septic sy lication shall not be commenced unCil I Cloning, ita p this permit app guildinginspectorandstamPed Final buildingperm nedbylh agree ihatconsiruclioncovere Y, MechanlCal of this applicatlontorm sig eciticaClons setforth havereceivedacoPY of glair and the State of A\C IAppROVED'. eriormtheproPosedworkinaccordancewiththesp a reetoP rdance with the codeslordinances of the City h in ve a ermit Is void if Uork is not commenced within 180 ay i hereby 9 , Roug - and -n acc° t this p ante, or rf work Is abando ed for ix (6) \b0 ~ 02 ~ C~ Plumbing lebraska. I ~e ea wi hn~ 2 years of the date of rss Flnal I not come hit r is earnest. DATE bnth r er, Ground Work ~ Final ;NATURE F OWNEr~CONT~ R OR AUTHORREp AGENT Rough•in OUR PERMIT DATE THIS IS Y IN THIS SPACE LY VAI-IDATED \TUREOFOWNERIIFOWNERBUILD~HENPR~PER ~ Approved By: e T •~~~ ~~~ ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: S-Z~I- ~ Permit 0 3 0 6 Permit Fee: $ ~ ~ ~ 2- ~ JOB ADDRESS ~~ Y ~/~~ 1(nC /T/d \ ~~• LEGAL 1 LOT NO. BLK. TRACT O SEE ATTACHED SHEET ' DESCR. OWNER MAIL ADDRESS ZIP 2. ~-+21~o/d ~o~;~n1a~ ~~c,t~rr~~ ~~raac~CCi~~~' PHONE 3 CONTRACTOR , MAIL ADDRESS PHONE ~ I ~~r ~~eC~r~~C 2501 5~. ~~~~s ~U~~t,~ Om¢f1 ~ ~ klG~ LICENSE ND. 3~l1- ~~17 W COMMERCIAL EMODELING/ADDITIONS 4. Class of Work: ~ NEW RESIDENTIAL O NE D UPGRADE SERVICE I 5• Describe Work: ~~~~.I -~j~ (C~Cw c~0 S'~f~~ 6• Current License on File Yes O No O NA ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee ............................ $ 18.00 p ry ................ Tem ora Service $10.00 201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00 y """"""""' p ............................ 301-400 Am Fee $ 42.00 401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00 501-600 Amp Fee ............................ $ 67,00 Miscellaneous Apparatus ...... $11 00 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total NOTICE New Residential: (Finished Area) I hereby certify that I have read and examined this Single/Two Family Dwellings application and know the same to be true and correct. All sq. ft. x .045 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority r local f th t t i i l t l th i Receptacle/Switch Outlets ~ Z ~ any o er s a e o e prov s ons o a e or cance to v o Fixtures 23 x $.75 i ~ law regulating construction or the performance of construction. Residential/Commercial Appliance ` # Fixect Outlets x $3.00 Power Apparatus (220 Volts) _ ~~ld~T # Apparatus x $3.00 .. «. _. 9 ~ Permit Issuance Fee .............$15.00 J S• 6 ~-~ ~ ~ TOTAL ~ '? . L S~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS I~SjYOUR PERMIT _S PRTG: Blair, NE Approved By: Rev. 12/95 ' BENNETT'S CONSTRUCTION ~ PH. 449-1795 OR 1-427-7425 Page No. of Pages PROPOSAL 503 W. 4TH~ST. KENNARD, NE 68034 1362 «,~ ~~ STRF~T JDB NAME CITY, STATE AND ZIP CODE JOB LOCATION= ARCHITECT DOTE OF PLANS ' ~ JOB PHONE. - ~. ~ i , lhb hereby subrrrt specirrcaNarrs and estimates ior. r ~~ ~~ // /~r~J/\J ~ 75~ , Gk~Sti in~~ y~ ~s~ y~r '*'~' ~ z/q ~„t.~' - ~ Flo yy G~( ~r~["~ ~~~ Aib~~ _ - - R. _. T~ t ~~~ ~~y~r/'s~Q~~ t o ~' l~( . ~_ I-- ~ t' ~t ~~K fi ~-` ~ we PrOpOS@ hereby to furnish material and labor -complete in accordance with above specifications, for the sum of.• dollars ($ )• Paymer-t to be made as tollows• :All makrisl k guaranteed to be as apeclHed. All work to be completed In a substarrtlal workmanlike manner acccrding to specilicaNorrs submitted per standard practlces. Any afteratlon or deviation horn Authorized above spedfkatiars Irndving extra ousts will be executed ony upon written orders, and will become Signature en ex6a charge over and above the estlrmdte. All agreemerrLS congngent upon stdkes, accidents or delays beyond ae corrbd. Owner to carry gre, fiornedo and Darer necessary Insurance. Our workers Note: This proposal ntaY be days i hi f d are laity covered by workman's Comloerrsatlon lrrswance. . n not accepte w t withdrawn by us I Aw wiw w~ ltjrw~w~e+A~ ~{+~+GFJt:QlI~G VI rly~,/va7u• - rneauovepnGes,spec:mceuws and conditions are satlslactory and are hereby accepted. You are authorized to do `, the work as speGfled. Payment will be made as outlined above. Signature - Oate of Acceptance:. 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