BPE0784The City of Blair Building Permit Detail
Permit #: E0784 Issued: 09/15/1999
Completed: 09/20/1999
Owner: Dana College -Soccer Fields
Address: 27th & Hansen
Blair, NE 68008
Phone: 402
Section: Township:
Subdivision:
New service
Inspections Date By
09/20/1999 DEM
09/20/1999 DEM
Remarks
Contractors
Type: Electrical Miscellaneous
Valuation:
Range:
Lot:
Electrical Permanent Service
Electrical Final
General Contractor
Judt Electric Electrical Subcontractor
Permit Fee: $17.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Pass
Pass
Permit # Issued
E0784 09/15/1999
ELECTRICAL PERMIT APPLICATI®N
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 permit ~ ~ ~ ~
(402) 426-4191
Application Date: ~ ~/
'1 ~
Permit Fee: $ ~~
JOB ADDRESS f~
~
D
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LEGAL
~ • DESCR. LOT NO. BLK• TRACT
O SEE ATTACHED SHEET
2. OWNER / MAILADDRES ZIP
d ~.
~ PHONE
~
3• CONTR~TOR n MAIL ADDRESS PHONE
° ~/ LICENSE NO.
t
eL.S /
4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Work: ~~~
6• Current License on File Yes O No O NA
New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES
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 System ................. $10.00
301-400 Amp Fee ............................ $ 42.00
Signs .....................................$15.00
401-500 Amp Fee $ 55.00
............................
501-600 Amp Fee $ 67.00
............................ Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801-900 Amp Fee $105.00
........................ Commercial/Multi-Family and All U grades:
~
901-1000 Amp ................................. $117.00 ~~ ~
# of Circuits x $2.00
IF OVER 1000 Amp Amp Fe~/U~) ~~ ~
~
1st 1000 Amp Fee ....................... $117.00 /
~ ~
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
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NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00
work will be com
lied with wh
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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 Smoke Detectors x $3
00
construction. .
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power Apparatus (220 Volts)
SI U OF CONTRACTOR OR AUTHORIZED AGENT
' # Apparatus x $3.00
/
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Permit Issuance Fee .............$15.00 ~
~~ J
DATE
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By~
POUNDS PRTG: Blair, NE Rev. B/97
BUILDING INSPECTION REPORT
.I CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
~~
LOCATION OF INSPECTION: ~ ~ 7" 7v/,~ ~ ~ -l P~ ~__ r ~l -
NAME OF OWNER: ( J/~' ~~ei~/ ?%t' -- <.~' ' C r F- / C Ic~ CONTRACTOR: ~ ~ fit- l~ C %J~'~' [~ - -
l
DATE INSPECTION REQUESTED: `- ~ ~ ~ TIME INSPECTION REQUESTED: ~-~~ ~Cr)~ s7-f- PERMIT N0; ~-=• U ~ J ~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ~ ^
COMMENTS: ~
ELECTRICAL: ^ ROUGH IN ^ FD~TURES
,.FINAL ^ MOTORS~PERMANENT SERVICE ^ TEMPORARY SERVICE .PASSED) FA
D
^ PARTIAL / ~
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED . ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECTO~LJ~~ /% ' -~~G~~~~~~ DATE OF INSPECTION MADE: ~ ~ T TIME:. ~ SZJ
FAXED OPPD\ ~~ -PS 1~ ~ '~~ ,~ TO CONNECT SERVICE:. ^ YES ^ NO