BPP0722l
The City of Blair Building Permit Detail
Permit #: P0722 Issued: 04/25/2002
Completed: 06/26/2002
Location: 555 N. 16th Street
Owner: Jack Gilliland
Address: 555 N. 16th Street
Blair, NE 68008
Phone: (402) 426-3755
Section: Township:
Subdivision:
Sewer line replacement
Contractors
Renton Trenching, Inc.
Remarks
Inspections Date
04/26/2002
oa/as/aoa2
05/07/20D2
06/26/2002
By
DEM
DEM
DEM
DEM
Range;
Lot:
type: Plumbing Miscellaneous
Valuation:
General Contractor
Sewer Lines
Sewer Lines
Sewer Lines
Final Inspection of Project
Permit Fee: 10
Issue Fee: 15
Deposit Amt.:
Receipt #:
Btock:
Permit # Issued
Pass Partial
Pass Partial
Pass Partial
Pass
City of Blair Building Permit Detail
Permit #: P0722 Issued: 04/25/2002
Completed: 05/07/2002
Location: 555 N. 16th Street
owner: Jack Gilliland
Address: 555 N. 16th Street
Blair, NE 68008
Phone: (402) 426-3755
Section: Township: Range:
Subdivision: Lot:
Sewer line replacement
Type: Plumbing Miscellaneous
Valuation:
Permit Fee: 10
Issue Fee: 15
Deposit Amt,:
Receipt #:
Block:
Contractors
Henton Trenching, Inc. General Contractor Permit # Issued
Remarks
Inspections Date By
04126!2002 DEM Sewer Lines Pass Partial
04/26/2002 DEM Sewer Lines Pass Partial
05/07!2002 DEM Final Inspection of Project Pass
~~
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: 1 ~ ~~ `~y
P 0722
Permit Fee: $
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JOB ADDRESS
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1 OWNER ~ ~5 , ~ I ( MAIL ADDRESS ~ ~ ~ ~ p,~{O~E + ~~~`
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S
,Z CONTRACTOR MAIL ADDRESS PHONE LIC
NSE NO.
3. Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR ~J 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 Service ........................ $10.00
Sewer .................................... $10.00 ~ ~ • ~ ~
NOTICE
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
~ ~'yy
Permit Issuance Fee ............. $15.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ~
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~~
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TOTAL
v
DATE Current License on File OYes O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
< <~
CTI' OF BLAIR
LOCATION OF INSPECTION:
NAME OF OWNER:
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY
DATE INSPECTION REQUESTED: ~ l ~` ~' I `~ ~h TIME INSPECTION REQUESTED: ~ ' ~ ~ PERMTI' N0: /
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
UTILITIES: ^ SEWER TAP SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSE FAILED
^ PARTIAL ^
COMMENTS:
ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ 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 OF INSPECTION MADE: ~ ~ TIME: ~ ` " /
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
BUILDING INSPECTION REPORT
^ Y CITY OF BLAIR
^ WASHINGTON LINTY /~ ^ OTHER
.~ ~ Q~
LOCATION OF INSPECTION: ~C' --~ ~ /CC/
NAME OF OWNER: ~ ~~ ~ ~~ ~J
CONTRACTOR:
DATE INSPECTION REQUESTED: TIME INSPECTION REQUESTED: PERMIT NO: ~~ ` `"~ `~'~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK 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 ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT - ` PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL PASS FAILED
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
TIME: /~ ~ '
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON By
i
,.-
?~ i--°
,~3~
,L`J^CTI' LAIR
LOCATION OF INSPECTION:
NAME OF OWNER: I~~~
BUILDING INSPECTION REPORT
^ WASHINGTON COUNT`~Y~ ^ OTHER
~~~ ~~((~
_ I~ya~
DATE INSPECTION. REQUESTED ~ ~~" ~ ~ ~ TIME INSPECTION REQUESTED: ~ ' PERMIT N0: ~ ~ ~~ "
~ -r2t ~ s e
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 PASS FAILED
'PARTIAL ^
COMMENTS:
ELECTRICAL: ^ ROUGHIN ^ FD{TURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE PASSED FAILED
^ 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:
r
INSPECTO DATE OF INSPECTION MADE:. TIME: ~
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO