BPP0385The City of Blair Building Permit Detail
Permit #: P0385 Issued: 06/14/2000
Completed: 06/15/2000
Location: Kathy 2052 Park Street
Owner: Kathy Johnson
Address: 2052 Park Street
Blair, NE 68008
Phone: N/A
Section: Township:
Subdivision:
replace sewer line
Type: Plumbing Miscellaneous
Valuation:
Range:
Lot:
permit Fee: $10.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Contractors
Menton Trenching, Inc.
Remarks
General Contractor
Plumbing Subcontractor
P~:rmit # Issued
P0385 06/14/2000
Inspections Date By
06!15/2000 DEM Sewer Lines Pass
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218. South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 P 0 3 8 9
(402) 426-4191
Application Date: ~y ~~ ~~
t5~
Permit Fee: $~~~=
JOB ADDRESS / 2 ~~ ~' / '~
`
1. OWNER
MAILADDRESS
~~ 1 ZIP PHONE
2. CONTRAC 0 . ~ ~ M IL ADDR~$S, ~ ~ ~~~ PHONE LICENSE NQ.
3. Class of Work: O COMMERCIAL RESIDENTIAL O NEW O ADDITION ALTERATION O REPAIR EPLACEMENT
4. Describe Work: ~ R
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
NOTICE
Sewer ..............................
...... $10.00 //
~ 1~~~~
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 the performance of (Commercial)
construction.
Gas/Water Piping System
(Commercial) ..................... ....... $30.00
I
/~ ~a
Permit Issuance Fee ....... ......$15.00
SIGNATURE OF CONTRACTOR OR A THORIZED AGENT
~~
~~
TOTAL
•
DATE Current License on File d~s O No O NA
c
WHEN PROPERLY VALIDATED (IN THIS SP CE) THI IS YOUR PERMIT
Comment: Approved
~Z~~~~
~~ ~;' BUILDING INSPECTION REPORT
°~
ff~ CIT F BLAIR ^ WASHINGTON COU TY ^ OTHER
LOCATION OF INSPECTION: ~ ~ ~Jl-~ >~~ ~° C~) }
4 _ _
NAME OF OWNER: ~~ CONTRACTOR: ~X~J` ~-'
DATE INSPECTION REQUESTED: '~/ ~~ ~ TIME INSPEG~'ION REQUESTED: /° ~)~ PERMIT N0: ~~~ ~ ~ ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL'" ^ PARTIAL PASSED FAILED
COMMENTS: ^ ^
UTILITIES: ^ SEWER TAP EWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSE FAILED
^ PARTIAL 1 j ^
COMMENTS: V
ELECTRICAL: ^ .ROUGH IN ^ FIXTURES ^ 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:
:,
G
DATE OF INSPECTION MADE: ~ '~~ TIME: v
FAXED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO