E0056ELECTRICAL PERMIT APPLICATION
Application Date:
-3~~6197
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 0 0 5 6
(402) 426-4191 Permit
~~
Permit Fee: $
JOB ADDRESS
-
-.
~
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LEGAL
1 • DESCR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2 OWNER MAIL ADDRESS ZIP PHONE
~~
3. C T~f CTO MAIL AD E S - PHONE LICENSE NO.
4. Class of Work: ~ NEW RESIDENTIAL O NEW C MERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Work:
6• Current License on File s 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 Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00
y """"""""'
301-400 Amp Fee $ 42.00
............................
401-500 Amp Fee $ 55.00 Signs ..................................... $15.00
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 / f
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
1st 1000 Amp Fee ....................... $117.00 Amp Fee
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
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The granting of a permit does not presume to give authority Receptacle/Switch Outlets
to violate or cancel the provisions of any other state or local Fixtures x $.75
law regulating construction or the performance of
construction. Residential/Commercial Appliance
# Fixed Outlets x $3.00
Power Apparatus (220 Volts)
# A
aratus x $3
00
pp
.
IGNATURE OF CONTRACTOR OR AUTH ZED AG
i~ ~~ ~~
Permit Issuance Fee ............. $15.00 1
DA E
TOTAL 0
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRTG: Blair, NE Rev. 12/95
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
~~~~9
Application Date:
~~ ~~
Permit Fee: $
JOB ADDRESS //;; ~
C.~
LEGAL
1 • DescR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2 OWNE ~ 7 ~ MAIL ADDRESS ZIP ~~ / PHO ~"
,3 CON OR MAILADDR PH NE _ LICENSE NO.
C~
4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS REPLACEMENTS
5• Describe Work:
Comments:
MECHANICAL PERMIT FEES
~~ ~~~ ~~
`
~ ~~ 9 ,~ Forced Alr Systems
Per Unit Commercial/Residential (New)
............
.........................
$25.00
/~~ ~ ~] ~-/
~
~ Air-Conditioner Unit
/
~~
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Jv Per Unit Commercial/Residential (New) .... ....... ... .~........ .. $10,00
to
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Refrigeration Units/Coolers
Per Unit Commercial (New or Replacement) ..... ......................... $10.00
NOTICE
I hereby certify that I have read and examined this
application and know the same to be true and correct. All Forced Air Systems/Air Conditioner
i
U
R
l ~ ~
~~
n
t
ep
acement
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not.
Per Unit Commercial/Residential (Replacement)
........................ $10.00
The granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state or local
law regulating construction or the performance of
construction.
P
it I
F
$15
00 ~}' C~
~~
erm
ssuance
ee .............
.
._. p~p
TOTAL
~
SIGNATURE OF CONTRACTOR OR AU ZED A T
,~~ ~ Current License on File Yes O No ~ NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SP
POUNDS PRTG: Bletr, NE
S IS YOUR PERMIT
~Y
Rev. 12195