BPP0109The City of Blair Building Permit Detail
Permit #: 0109 Issued: 11/02/1998
Completed: 11 /03/1998
Type: Plumbing Miscellaneous
Valuation:
Owner: Blair Amaco
Address: 454 South 19th Street
Blair, NE 68008,
Phone:
Section: Township:
Subdivision:
new water service exterior plumbing
Inspections Date By
11/03!1998 KAR
Remarks
Range:
Lot:
Water Service
Permit Fee: $10.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
Henton Trenching, Inc. General Contractor Permit # Issued
Blair Plumbing Plumbing Subcontractor 0112 11/09/1998
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 P 010 9
(402) 426-4191
_~~
Application Date:
Permit Fee: $
~S.oO
JOB ADDRESS
1 . OWNER •` ` MAIL ADDRESS
t ZIP PHONE
,MAIL ADDRESS
2 CONTRACTOR ~ PHONE LICENSE NO.
3. Class of Work: COMMERCIAL O RESIDENTIAL O NEW ADDITION O ALTERATION O REPAIR O REPLACEMENT
4• Describe Work:
Comments: PLUMBING PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture No.
Kitchen .................................. $8.00 x
Bath ....................................... $8.00 x
Rough-In Bath ....................... $4.00 x
Slop Sink/Laundry Tray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Drinking Fountain .................. $3.00 x
Water Servic'tc.~l~... $10.00 ~ `~~' ~ ~®
NOTICE Sewer .................................... $10.00
I hereby certify that I have read and examined this Groundwork ........................... $10.00
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Septic Tank & Laterals ..........
$10.00
work will be complied with whether specified herein or not. Lawn Sprinkler System ......... $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 Sprinkler System ................... $30.00
law regulating construction or the performance of (Commercial)
construction.
Gas/Water Piping System
(Commercial) ............................ $30.00
~ C~
~ ~~~`
/
--- Permit Issuance Fee ............. $15.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ~°
TOTAL
"
DATE Current License on File es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPAC,1=) THIS I~ YOUR PERMIT
POUNDS PRTG.~Blair, NE \ ~ `~ 6/ Rev. 4/98
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
ANplication Date: I ~ - '' c~
~~
Permit Fee: $
JOB ADDRESS ~ ~.
1. OWNER V MAIL ADDRESS ZIP PHONE
2. CONTRACT MAIL ADDRESS
.V w~b~ PONE LICENSE NO.
3. Class of Work: COMMERCIAL O RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT
4• Describe Work:
Comments: PLUMBING PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture No.
Kitchen .................................. $8.00 x
Bath ....................................... $8.00 x
Rough-In Bath ....................... $4.00 x
Slop Sink/Laundry Tray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
..................
Drinking Fountai
n $3.00 x
''
nn
j
~~~ ~ ~~
~~
...
Water Service
!..f?~. $10.00 ~
NOTICE Sewer .................................... $10.00
I hereby certify that I have read and examined this Groundwork ........................... $10.00
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Septic Tank & Laterals ..........
$10.00
work will be complied with whether specified herein or not. Lawn Sprinkler System ......... $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 Sprinkler System ................... $30.00
law regulating construction or the performance of (Commercial)
construction.
Gas/Water Piping System
(Commercial) ........................... . $30.00
I `
Permit Issuance Fee
$15.00
~ ~ ~®
SIG AT OF NTRACTOR OR AUT IZED AGENT
TOTAL
DATE Current License on File Yes O No O NA
WHEN PROPERLY VALIDATED (IN THIS SP
Comment
Approved
THIS IS YOUR PERMIT
P 0112
~ Rev. M9B
POUNDS PRTG.~Blair. NE
r ---`- -- -- -- ---
4 ~ 1 - -
BUILDING INSPECTION REPORT
. ` ^ CTCY OF BLAIR ^ WASHINGTON OUNTY ^ OTH.ER' -
.-., ~ .- ;
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~~ ~.F.~--~-- „'
LOCATION OF INSPECTION: ~ ~ ~ ~ , I / _
1 ~ f.
'1 ~ 1 s _.~---~
~ NAME OF OWNER, ~ ~` (~~ ~ ~ 1 CONTRACTOR: ~ t ~l
/ f ~ ~ ~7
~; DATE INSPECTION REQUESTED: ~/ ~ ~ PERMIT N0: ~.-~ ~~ J .~` -~yr--~,~.
~ - ~ ~, :1
s' TIME INSPECTION REQUESTED: ~ ~ ~ , ~ -'
-,' -
` TYPE OF INSPECTION REQUESTED:
~, -_
r BUILDING:
i.
E ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL
i
i
UTILITIES:
i.
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE; ~ `~! WATER SERVICE
t
E ELECTRICAL:
f
ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
F _
k ^ PERMANENT SERVICE ^ TEMPORARY SERVICE .-
MECHANICAL:
f
f
^ ROUGH-IN . ^ A/C ^ FINAL
4 PLUMBING:
~ .
~' ^ GROUNDWORK
h ^ ROUGH-IN ^.FINAL
1-
~ ,RESULTS OF THE INSPECTION: PASSED•(sF.~rra~sl ^ FAILED (sue Na~rEsl ~ , -
[, -
j NOTES/REMARKS:
I DATE OF INSPECTION
f
t.
-- CALLED OPPD\ TO.CONNECTSERVICE: ^ YES ^NO
WANT OFFICE STAFF TO CALL:OPPD\ ^ YES ^ NO
BL:R 1 ;