BPM0361The City of Blair Building Permit Detail
Permit #: M0361 Issued: 07/06/1999
Completed: 07/23/1999
Owner: Good Shephard Home
Address: 805 North 22nd Street
Blair, NE 68008
Phone:
Section: Township:
Subdivision:
replace A/C with 1 1/2 ton
Inspections Date By
07/23/1999 DE=M
Remarks
Contractors
Getzschman Htg. & Sheet Metal, Inc.
Type: Mechanical Miscellaneous
Valuation:
Range:
Lot:
Mechanical Final
General Contractor
Permit Fee: $10.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Pass
Permit # Issued
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 0 3 61
(402) 426-4191
Application Date: - V/ i ~ ~~
Permit Fee: $
~~
JOB ADDRESS~^ ~ ~ ~a
w
1. OWNE
~ MAILh ADDRESS ZIP
Y
~
v
~-
A ~ ~ ~ ONE ~~.~
2. CONTRACTOF~
/ AI
L A
D
D
RE S P LICENSE NO.
3• Class of
Work: COMMERCIAL O RESIDENTIA O NEW O ADDITION O ALTERATION O REPAIR REPLACEMENT
4• Describe Work:
Central A/C ~ a--' Tons MECHANICAL PERMIT FEES
Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) ...................................... .............. $25.00
# of Units 'vC
Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) ...................................... .............. $10.00
_ ~ _ ~
Com
letion Date: Forced Air Systems/Air Conditioner ~~~)~)
Unit Replacement Per Unit Commercial/Residential ................... $10.00
p 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
li
i
app
cat
on 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
ti
f
it d
e gran
ng o
a perm
oes not presume to give authority
to violate or cancel the provisions of any other state orlocal _
/~~
~O
law regulating construction or the performance of Permit Issuance Fee ............................... $15.00 r
construction
.
~~
-~
TOTAL r
IGNATURE OF CONTRACTOR OR AU RIZED NT
~_~ _ ~ ~ Current License on File Yes O No O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS,~PACE) TH~~ IS YOUR PERMIT
POUNDS PRTG: Blair, NE ` ~ L~ ~ Rev. 4198
~- - ,
---- -
.= BUILDING INSPECTION REPORT
~ ~ CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER ~
LOCATION OF INSPEC'T'ION:
G f
FR~
NAME.OF OWN ~~ ~~~' ~~~`'"~ CONTRACTOR: ~ ; ~~' ~ ?f
DATE INSPECTION REQUESTED: PERMIT NO: ~ ~~
TIME INSPECTION REQUESTED: ~ ~ ~~
k
TYPE OF INSPECTION REQUESTED:
BUILDING:
~. ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC - ^ WATER TAP
~~ , ..
[[ ^ REMOTE ^ WATER SERVICE
F;-
~. .ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
C
^ PERMANINT SERVICE ^ TEMPORARY SERVICE
MECHANICAL:-
^ ROUGH-IN A/C ~ FINAL
PLUMBING:
`^ GROUNDWORK "` - ^ ROUGH-IN ^ FINAL
I ,. RESULTS..OFTHEINSPECTION: li(PASSED~~sEENO'r~s) ^FAIl,ED(s~NO•rFS) "
E'. NOTES/REMARKS: T
pt1TE OFINSPECTION`MADE:~C " ~/ ~'TT~'1E: ~~ ` ~~
• CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ' ^ YES ^ NO BLR 1
•
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