P0987City of Blair Building Permit Detail
Permit #: P0987 Issued: 10/2/2003 Type: Plumbing Miscellaneous
Completed: 10/3/2003 Valuation:
Location: 1911 Grant Street
Owner: Katy Petersen Permit Fee: 10
Address: 1911 Grant Street Issue Fee: 15
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township:
Subdivision:
Replace Water Service
Contractors
Henton Trenching, Inc.
Remarks
Range:
Lot:
General Contractor
Block:
Permit # Issued
Inspections Date By
10/3/20D3 DEM Final Inspection of Project Pass
10/3/2003 DEM Water Service Pass
S~. ~ " PLUMBING PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: I `' ~ l ~~
CATION
P 0987
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Permit Fee: $
JOB ADDRESS
OWN MAIL ADDRESS ZIP PHONE
C NTRACTOR X MAIL ADDRESS PHONE
2. 1~1..~Y~ i.~ Lf /I I Yl ~ L-~'7 ~~, Li:~r.-(w'~ 3 0 i~ i_Ct. t f' LICENSE NO.
``~c•~ ~~, .__ Cj ~~:~
3• Class of Work: O COMMERCIAL SIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR I~REPLACEMENT
4• Describe Work: G~- ~~ U ~~ ~
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 I ~ ~ • ~-~~~
NOTICE Sewer .................................... $10.00
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.
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
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~ ~ Permit Issuance Fee ............. $15.00 . ~ C.
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U SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ~
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TOTAL
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DATE Current License on File ~es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
~ ~ ~-~~~
POUNDS PRTG: Blair, NE Rev. 4/BS
BUILDING INSPECTION REPORT
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,,
,~ ^ CITE OF BLAIRy ^ WASHINGTON COUNTY ^
OTHER
^^
LOCATION OF INSPECTfON: _ ~~ (~ ~ ~ Il.f' c~ T
NAME OF OWNER
- T ~ -~ ~ ~
~ ~~ lI ` ~ ~ + ~' ~Y ~' ~ Y ~^~.
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1~T
.CONTRACTOR:
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DATE INSPECTION REQUESTED:
3 TIME INSPECTION REQUESTED PERMIT NO: ~ CJ~I " ~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECKFOOTING ^ FRAMIIVG ^ DRYWALL ^ FINAL ^ PARTIAL PASSED.- FAILED
^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC . ^ WATER TAP ^ REMOTE ATER SERVICE
~ PASSED FAILED `
'
^ PARTIAL
.COMMENTS: ,~ 1~Q~ ~ ~ ~~ ~ ~~ ~ ^
'E~:ECTRICAL: ^ 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:
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON