BPP0259The City of Blair Building Permit Detail
Permit #: P0259 Issued: 10/15/1999
Completed: 10/18/1999
Owner: Dana College -Soccer Field
Address: 2848 Cilege Drive
Blair, NE 68008
Type: Plumbing Miscellaneous
Valuation:
Phone:
Section: Township: Range:
Subdivision: Lot:
Water service hook up to sprinkler system.
Inspections Date By
10/18/1999 DEM Water Service
Remarks
Contractors
General Contractor
Becker Trenching & Water Plumbing Subcontractor
Permit Fee: $10.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Pass
Permit # Issued
P0259 10/15/1999
~~ PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:. ~~ r ~ ~'
P 0259
Permit Fee: $ ~ ~~
JOB ADDRESS /~ c `
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1. OWNER n~~ ~ ~~~ MAIL ADDRESS
J ZIP PHONE
.,i MAIL AD RE S
2. CONTRACTOR ~
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' 7~~ ~~ LICENSE N0.
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3• Class of Work: OMMERCIAL O RESIDENTIAL O NEW O ADDITION O ALTERATION REPAIR O REPLACEMENT
4• Describe Work: V v~ 1~C ~ ~/'ULCrz~ hQG~ - ~ _ rL r,~ xc-c~f ~C ~/'~
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 Service ........................ $10.00 ~ _ 1O -~~
NOTICE Sewer .................................... $10.00
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.
The granting of a permit does not presume to give authority Lawn Sprinkler System ......... $10.00
to violate or cancel the provisions of any other state or local Sprinkler System ................... $30.00
law regulating construction or th rforma a of
construction. (Commercial)
Gas/Water Piping System
(Commercial) ............................ $30.00
~'
Permit Issuance Fee ............. ~ ~~ ~~
$15.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ~ ~,
TOTAL ~.
DATE Current License on File Yes O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
'OUNDS PRTG.-Blair, NE Rev. M98
• BUILDING INSPECTION REPORT
_.;,.~ .,
^ SCI'T`~ OF BL;AIIt ~ WASHIIVGTO COU~T~' ~ OTHER
LOCATION OF INSPECT_ ION: r%`' ~ 'J ~ ~~~-,~1i1.~~ ~ ~ ~ 6'~ ~c~~ ~.
- ~ NAME OF OWNER: ~_i~-~,/ r l~~ ~~i ~
- ~ ONTRACTOR: .9~L~~~1 I r { ~` 1 C~ 1
DATE INSPECTION REQUESTED: ~ ~1 1~ ~ ( r~ p~~,yT NO: ~ ~~ ~~f
~r;.,J) ,r, ~,
TIME INSPECTION REQUESTED: ~~ . P ~' c%"`~ Q ~ ~ , ~_'
BUILDING:
^ FOOTING ^ FRAMING .DRYWALL ~ FINAL
i UTILITIES:
Q SEWER TAP ^ SEWER ~ SEPTIC ~ WATER TAP
^ REMOTE n t WATER SERVICE ~~~
~~ ~ ~ ~f
r 4~ ~•~''
ELECTRICAL: i
^ ROUGH IN Q FIXTURES `FINAL ^ MOTORS
^ PERMANENT SERVICE ,_ ~ TEMPORARY SERVICE
MECHANICAL: -
Q ROUGH-IN ~ A/C ~ ~~,
' PLUMBING:
TYPE OF INSPECTION REQUESTED:
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tiJ~~'1-y-•~
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- RESULTS OF THE INSPECTION: PASSED ts~xo~s~ ^FAILED ~s~xo`rEsi -
NOTES/REMARKS: ` - -
. ~ A -
INSPECT l
DATE OF INSPECTION MADE• ~ ~ ~~'r~
TIME _ ~
CALLED OPPD\ TO CONNECT SERVICE:. ~ YES ^ NO . -
• ~ WANT OFFICE STAFF TO CALL OpPD\
--- - --- -.-_-- - -- - --- - - D° YES :. Q NO BLR .1 ° ~
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