BPM0240The City of Blair Building Permit Detail
Permit #: M0240 Issued: 6/12/98
Completed: 3/30/99
Owner: Cargill -Husker 1 Plus Addition
Address: 650 Industrial Road
Blair, NE 68008
Phone: 402-533-4179
Section: Township: Range:
Subdivision: Lot:
Roof top A/C & duct work.
Inspections Date By
3/30/99 DEM
Remarks
Type: Mechanical Miscellaneous
Valuation:
Mechanical Final
Permit Fee: $25.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
Chaney Citywide Heating & A/C Sys. Ir General Contractor Permit # Issued
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 0 2 4 0
(402) 426-4191
~~ 1~-IZ-~i8 ~~ 12 I~i~ ~
Application Date :e I
Permit Fee: $ ~` ~
JOB ADDRESS (n ~ ~~,,ff ` ' p j., ~ n ~
W ~~t`.L W 0 r ~ C~
1. OWNER ~ ~~~ _ r L A~ S ~ ( .' n ZIP ~
V ~
1
, rP- 0~
2 N RACTOR
MAIL ADDRESS
f / /- ,`PHONE
I
~It .1.. ~ ~ I(~~ r LICENSE NO.
3• Class of Work: ~ COMMERCIAL O RESIDENTIAL O NEW ADDITION O ALTERATION O REPAIR O REPLACEMENT
4. Describe Work: ~p~ ~ (~
MECHANICAL PERMIT FEES
Central A/C Tons
Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) ................................. ................... $25.00
# of Units A/C ~ ~ ~ ~~
Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) ................................. ................... $10.00
Forced Air Systems/Air Conditioner
Unit Replacement Per Unit Commercial/Residential ................... $10.00
Completion Date:
Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement) ...... .. ................... $10.00
Comments:
Appliance Vent/Fans ............................... $10.00
Boiler ..............................................:........$15.00
Duct System ............................................ $10.00
Gas/Air Outlets .................. x $2.00
NOTICE Radiant Heat Systems ............................ $25.00
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular Home
$15
00
work will be complied with whether specified herein or not.
Th .........................................
.
e granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state orlocal /~ ,, (~
law regulating construction or the performance of Permit Issuance Fee ............................... $15.00
t
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ruct
on.
2~
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7 TOTAL .
SIGNA UR OF CONTRA OR OR AUTHORIZED AGENT
i
Current License on File ~3-Yes O No O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By:
Rev. 4/9B
BUILDING INSPECTION REPORT
~~ CTTY OEBLAIR 0 WASHINGTON COUNTY ~ OTHER
LOCATION OF INSPECTION: ~ `'~) j~)~~-% f ?^ fi ~ r
' ~ J~ N 5~~~ :7%ftty' ! n
NAME OF OWNER.; rr r"t7 ~ ~J ~~l-~rfi7` ~r~ CONTRACTOR~`i~ r~P~/ ~ ~ G~ dG.-
U ~~ /-~.
DATE INSPECTION REQUESTED: PERMIT N0: !~~ ~ T~J
TIME INSPECTION REQUESTED: ~ rI ~.
TYPE OF INSPECTION REQUESTED:
BUILDING:
• ^ FOOTING ^ FRAMIlVG ^ DRYWALL ^ FINAL ,
UTILITIES: -
^ SEWER TAP Q'SEWER ^ SEPTIC Q WATER TAP
Q REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH IN ^ FIXTURES ~ ~ FINAL ^ MOTORS
Q PERMANENT SERVICE Q TEMPORARY,SERVICE
MECHANICAL: .
^ ROUGH-W ^ A/C ~FP'iNAL
PLUMBING: 1
Q GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION: ~~PASSED ~s~xo~s~. ~ FAILED csEExoTES~
.. NO.TES/REMARKS: -
IN5PE.C~OBr~ .~r_! ~ ~~ r ~ ~' ~~.~~
`~ ~ ~-, C~ / ~ r
DATE OF WSPECTION.MADE:-~=-' ~`~ ~ J .~E; // ~ J ~ -.
.CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ~ YES Q NO BLR l