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BP12804 Blair Building Permit Detail Permit #: 12804 Issued: 8/2/2007 Completed: 6/24/2008 Location: 1995 Ridgeview Rd Suites 1,2,3,4,5,6 Owner: Gretna West, LLC Address: 212 S. 74th Street, Suite 203 Type: IndustriallCommercial- New Const. Valuation: 450000 Omaha, NE Phone: 402 301 2314 Permit Fee: Issue Fee: Deposit Amt.: Receipt #: 1790 20 500 20624 Section: Township: Range: Lot: 3 Block: Subdivision: BLDR RIDGE Commercial strip mall. Will have 6 bays. Will have one water and sewer service for whole building. ELECTRICAL PERMIT #E2769 IS FOR SHELL OF BUILDING ONL YI! Contractors Meyers-Carlisle-Leapley Construction Eyman Plumbing Inc. Eyman Plumbing Inc. Judt Electric Remarks General Contractor Plumbing Subcontractor Plumbing Subcontractor Electrical Subcontractor Permit # T1260 P1742 E2769 Issued 10/3/2007 10/3/2007 10/9/2007 10/2/2007 OEM Revised plans shall be submitted and approved prior to any further work. 10/22/2007 OEM Tap was complete no kickers installed at this time 10:19 a.m. 1/11/2008 OEM Building not secured. 4/14/2008 OEM Trunk line. 2:31 Not ready 4/25/2008 OEM Spoke with Gary, Project Manager for this site concerning the sidewalk being to close to the highway. Needs to be at least 8 feet from highway curb! Inspections Date By 10/2/2007 OEM Conference Pass 10/5/2007 OEM Sewer Lines Pass Partial 10/9/2007 OEM Footings Pass Partial 10/9/2007 OEM Electrical Rough-ins Pass Partial 10/10/2007 OEM Electrical Rough-ins Pass 10/10/2007 OEM Footings Pass Partial 10/11/2007 OEM Plumbing Groundwork Pass Partial 10/12/2007 OEM Water Tap Fail 10/12/2007 OEM Footings Pass 1 0/22/2007 OEM Water Tap Pass 10/24/2007 OEM Sewer Lines Pass 10/26/2007 OEM Sewer Lines Pass Blair Building Permit Detail 10/29/2007 OEM Sewer Lines Pass 11/1/2007 OEM Sewer Lines Pass 11/6/2007 OEM Plumbing Pressure Test Pass 11/6/2007 OEM Plumbing Groundwork Pass 12/5/2007 OEM Electrical Temporary Service Pass 12/10/2007 OEM Electrical Temporary Service Pass 1/11/2008 OEM Electrical Permanent Service Fail 2/20/2008 OEM Framing Pass Partial 2/20/2008 OEM Electrical Rough-ins Pass Partial 3/10/2008 OEM Electrical Permanent Service Pass 3/12/2008 OEM Electrical Permanent Service Pass 4/7/2008 SAJ Stop Box Card Pass 4/14/2008 OEM Plumbing Rough-ins Fail 4/16/2008 OEM Water Service Pass 4/29/2008 OEM Framing Pass 6/24/2008 OEM Final Inspection of Project Pass Date: ~~ CITY OF BLAIR - APPLICATION FOR BUILDING PERMIT Permit # 1) fo \.[ Approximate Completion Date: d -J-.~-O~ COIIV\ ~.. V- REScheck Attached:../ Complete Plans Attached ~ '7 / Site Plan Attached: Application for: Residential__ Commercial/Industrial New Construction V Manufactured Home Modular Move-on: Home _ Accessory Building Other Remodel Addition Accessory Building: Garage _ Pole Barn_ Other Floor Type: Dirt Concrete Electricity: Yes _ No Other Public Water: Yes .~ No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement need~_ Date Agreement Received:_ Public Sewer: Yes~ No Septic Drawing Provided: _ If yes, responsible entity: Blair _ Kennard _ County Road Permit Required: Yes_ No ~ubmitted: Yes _ No /' Aqditiona/l;Jescription of proje"t if n'!lcessary: Cmv.. ~lL<.;jJ.~ ;,..' /frvYP · ~~. wJ:l1 ~ ~ ~ ~Jt<~ Utilities: Project Information: "1"1)"1- filli]iliID , . l '3 4 Sfo i , ... ~ I 3> Job Address: \ qCfS ~\dry' ViE'\AJ f/m,-j Su;k:, Legal Description (if applicable) &OLt I d-e r e~ ~Je Lot owner:~};u:t~ (J4) llc... Address: Ino~ ~ ~~ Phone#: S 3 3.-;5J 3 Contractor:V'\ e'}e("s -Co./' \: sic'" k4f 1C:"1 (Ui"-S1--.. Phone #: '1 Address: Jl{lJ.t{ T~d\4st(,';-41 Q.1. Olht.; h4 "~)YL Cell#: 10'/76'JS-- &41'] Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge this building permit application does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building Inspector.. I her M1gree tOjflerform the proposed work in accordance with the specifications set forth above and in accordance with the codes/or in ces f the C'f.y of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 day . ot c pi ed within two (2) years of date of issue. ~z. -t17 ate ZONING REVIEW: ZoninlVFlood Plain/Utilities: Current Zoning: Ale,jf Conditional Use Permit Required: Yes _ No L- V Date CUP Approved: State Fire Marshal Required: Yes ---A..- No _ Variance Required: Yes _ No X- Minimum Setbacks: Frontt.' Second Front Side 5 Side _ Rear~ Lot Sauare Foota~e: Length x Width: Lot Coverage % Drivewavs/Sidewalks: V Sidewalk required: Yes~ No_ Flood Plain: Yes No A If yes, specify special requirements: Sidewalk Waiver: Yes Date Waiver Approved: No X- BUILDING INSPECTOR REVIEW: Number of Stories One -'-- Two Three Four >Four High Rise (>75 ft)_ Tvpe of Residential Structure: Ranch _ Two Story _ Split Entry _ Raised Ranch _ Other Rooms _ Bedrooms _ Bathrooms _ Fireplaces _ Gas_ Electric _ Egress in Basement: Required: Yes _ No _ Provided on Plans: Yes No Sleeping Rooms Living Area Other Egress Sauare Foota~e: Main Level: ? 5'60 Basement: (Unfinished) Garage: Detached Garage: Addition: Porch: Front Deck that affect setbacks: Second Level: Third Level (Finished) 2 bay_ 3 bay_ 4 bay_ 5+ bay Pole Barn: Remodel: Side Front Side Rear Rear Occu pancv Classification: Assembly, theaters, with stage Assembly, theater, without stage _ Assembly, nightclubs _ Assembly, restaurants, bars, banquet halls_ Assembly, churches _ Assembly, arenas _ Assembly, general, community halls, librC!ries, museums_ Business Educational Factory and industrial, moderate hazard _ Factory and industrial, low hazard _ High Hazard, explosives _ High Hazard HPM. Institutional, supervised environment _ Institutional, incapacitated _ Institutional, restrained _ Institutional, day care facilities _ Mercantile ~ Residential, hotels Residential, multiple family _ Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard _ Storage, low hazard _ Utility, miscellaneous_ Is building reauired to be protected bv automatic fire sprinkler svstem?" No Only partially in some areas or rooms Please Specify Yes _ If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 13D Driveway Grade: (percentage) (Dale will review new residential construction) (AI will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: Permit Fee Calculation: RESIDENTIAL - NEW CONSTRUCTION: Building Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 All other permits valued under $10,000 No Deposit Fee Permit fee is: Finished sqjft area (not including finished basement area) Finished basement sqjft area Unfinished basement sqjft area Garage sqjft area Total Valuation: X $88 X$53 X$26 X$20 $ $ $ $ $ $ $ 20.00 $ Total Valuation Multiplied by 0.0056 = Issuance Fee: Total Permit Fee = DepositjPermit Fee/Issuance Fee RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/I nd ustrialjEd ucationa Ij Assem bly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Buildin~ Permit Deposit Fee: Residential additions/remodels/accessory buildings valued under $10,000 $ Fee = $200.00 Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ 5CJ~ Fee - $500.00 All other permits valued under $10,000 No Deposit Fee Construction Valuation will be computed bv SQ/ft area X $60 Accessory Buildin2s & Interior Remodelin2 Proiects will be computed bv SQ/ft area X $40 Permit fee is: Finished sqjft area Finished sqjft area 7) soa , X$60 X $40 $ '!5t?, t>IJO $ $0 TO $49.............................................................................................. $0 (plus Permit Issuance Fee) $50 TO $9,999............................................................................................$50 $10,000 TO $99,999............................................................................................$50 + $6 per additional $1,000 $100,000 TO $249,999......................................................................................... $590 + $4 per additional $1,000 $250,000 TO $499,999....................................................................................... $1,190 + $3 ger additional $1,000 $500,000 TO $999,999...................................................................................... $1,940 + $2 per additional $1,000 $1,000,000 AND OVER ......................................................................................$2,940 + $1 per additional $1,000 DD (j {qO. o . D(/ (pO . _ q().t>O I J "1 Permit Fee calculated from chart above $ ',7Cf().O() DO $ 20.00:= 18ft). $ P, BIt>. 06 Issuance Fee: Total Permit Fee = DepositjPermit Fee/Issuance Fee Additional Comments: Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements )( Sleeping Rooms below Story and in Basement required to have egress Approved by~Q;R; X Date: 5~/d7 . For Office Use Only Date Permit Paid: B, ::!()-"t./7 Permit Fee: I 8 I (). 00 Deposit Amount 500 .00 Receipt # .:z 01.9 2. 'f --1/7/1 /J . /I . . J A Deposit Paid by for return to: l'" I!!fJAtJ, (; tVlj/~ Building Inspection Pouch given: Yes ~ No_ / '1'/ Z tf Zn ~ 1t/ti;J ted c;:1?'n aft. t::V @ 6>1 '14 ;J> :g~ 8 ~ <: trJ 8..Z ~;g .. 0 ""0 trJ ~ >-< <: ;J> r' >-< U ;J> >-l trJ U ~ >-l ~ >-< [f). [f). ""0 ;J> n trJ '-" >-l ~ >-< [f). >-< [f). >-< o C :::0 ""0 trJ ~ >-< >-l ~ t \ ............ tl \..N '" <> \ ~ "-\ () o 3 3 (1l =:l :7 ---.. "':=....-o.g s.o~a"E. ::r" ~ .., -< -. 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'Tl (1l (1l "" o C -0 ~~ o cr--;;2 m ,0 (fl i'i m,^ ~ VI n'-l m...J C> "tl ::r o '" ('p '- o cr" :l> 0.. ~ ~ "V\ > "0 ~ (S' III ..... o' ;:l o III CD -- c , ~ , c ....J ~ ~ ~ ~ ~ ~ ;?~ [> tt:I ~. ~ >-rj ........ N ...... $:l)$:l)-O 10.0/ ~~ p.'oo::S . ow S~z~s., ~ ,-"o(1;)cn~ " N cr"' ........ ...... -- '-".... ::r _.,. N.j::..B; _'< 9"N?;",O\O .j::.. 0\ $:l) g.H;........ - I ,...,...,,........, \O::o\~~ ........:J -,,,oo....$:l) ~ """'0(1;) ...... VlO(1;)~"" ~ oo........Z ~ g.~ ;~ ~~ ~ ~ > ~ ~ o ~ -c "', ~ N ......:J 0\ I,C u MECHANI~~t::~i1ipPLiCATIokfJo t-f Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 M1550 (402) 426-4191 Application Date: 9'.. I;;; ~ () 7 Job Address Central A/C Tons Furnace # of Units BTU/H NC Furnace Completion Date: Comments: Notice I hereby certify that I have read and examined this application and know the same to be true and correct: All provisions oflaws and ordinances governing this type of work will be complied with whether specified herein or not. The grallting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. C112 )01- Date Permit Fee: $ 6)15. t> () '1J1J~/;M1d 'tJ MECHANICAL Forced Air/Heat Pump Systems - Per Unit /50. 00 Commercial/Residential (New)............... ............ ......... ... ..$25.00 Air-Conditioner Unit - Per Unit Commercia1/Residential (New)... .........." "....". ..."".. ... ." ...$10.00 Forced Air Systems/Air Conditioner Unit Replacement Pel' Unit Commercial/Residential............... ..$10.00 Refrigeration Units/CoolerslLines/Compressor - Pel' Unit Commercial (New or Replacement)........................ ..$10.00 Appliance Vent/Fans.........."........ ...$10.00 Boiler......."."".". '." "............. .....$15.00 Duct System...... ......................... ..$10.00 ItJ.ot? 11l'C;O Gas/Air Outlets....................... x $2.00 Raftiant Heat sy-ste~ ater Piping System. ......... .................. .$25.00 015. () () Modular Home............................. .$50.00 Permit Issuance Fee......... ... ... ... ...... $20.00 Total &7t:>. 0 C) c5?/ .()() Current License on File .s1 es 0 No 0 Nj A Comment: WHEN PROPERLY VALIDATED IN THIS SPACE THIS IS YOUR PERMIT Approved By: tLJ ~ / J r'd44.h7 -'<::::> l'O (J '- >- ~ ~:3:;-g:g 0 '0 0 <:T '2.. s.g.Q~:=:- ~ >- V> 0 ;>;" -. n ::r 0.. n' g ::. ...., ~ ~.;. ~ ~ a (t) f1> ",-<::r:::.:::>o'" g V> o' ....... (1l _ CIl ::s cr V> ;::l Qo~O'"oPU'-< rJJ >- _ <: l'O '" ....,::> n 0 '"d '0 g o' an;;; a. !! a '"d ~ ~;;; S' ~ ::2 5" -, (1) >-; ~ 8'--(Jq V> 0-< 0 -spu('llo~PJ"'''''''' -< ::c: :3 ... 0 -, ::> <: ::r (\) <""'1~("l)o.._D "'d 0... ~ D"""InPJo.. ::J- ~~D"'O:<Q('p-Z eo '" t:: ::> '" -. a. 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CD c8-'" CD < (ii' ::E :::0 o Ol a. co -- -->. 0) -- N o o -...J :5: o Ol o -->. 01 I o -...J CITY OF BLAIQ BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 refundable deposit is being collected at the time of your building permit application for all commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater. However, the City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) theft of water service by either the plumber, owner or general contractor, 2) all required inspections have not been obtained, 3) occupancy occurs prior to a final inspection, 4) all permits have not been obtained, 5) the project is completed without a final inspection being done. If any or all of these situations occur during construction, you may forfeit your deposit. I, hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/Owner City of Blair (5)- 218 South 16th Street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@ci.blair.ne.us &~~'t:f~:~: CITY OF BLAIQ BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet includes various items dealing with particular code requirements and/or building permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to know the 2006 International Buildinq Code requirements that apply to your project. Please understand this packet is only designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. Owner/Occupant City of Blair ~ rt..A1-tJ? Date @- 218 South 16th street. Blair, Nebraska 68008 . 402-426-4191 . Fax 402-426-4195 . E-mail cityofblair@ci.blair.ne.us """'"'' - - . . ......-"- .. , .. '-. ", ~ '"'lO ,_~ .' -......~".,'~., - - ......... \ a i , l?/2007/ I' \ - - - - - . . '. '. . . : . 'II : . ~ 731- "727 : . . . . ~ ~~/~ :~~~03/2007 . . -- ....-- - ~~ ,...-' ~ / /7 . . . - - .. " , S? ~l -~ - - .,;~i.' ..,;;0,', . " . ..,- - .' . . - . ':\ . . ~,.,;.:. - . . .. . - ~~-' '- - ~~ '~ '1 '-~ I '\o:t ...- ""., . . , ' ''4.. .,.... ....,ht.~,llo!~' .,11 ",.~...~;,~f~' ~.". ".: ,-.~...~ '" .' "\ . - . ,'-~'tI1.' ~.- ..C.- ~,:.,.~ .- ~ to-.', <t" ),' :....~ - ,..~ ~ 2':'. . , -" . Il.... ~ ......... ~" , , . CI ""::Iii: < ~ 0 0 I .." 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TYPE OF INSPECTION D CONFERENCE BUILDING: D FOOTING D DECK FOOTING Y FRAMING D DRYWALL D FINAL ):tPARTIAL STATUS CHECK .:EfD F~ED COMMENTS: n:.~~~~~~~~'=~~~~~>t~"""""~~~~~ UTILITIES: D SEWERTAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL PASSED FAILED o 0 COMMENTS: ~~:r:n;p-~~~ ~~'"""~rw'r2;~~~~'~>'~.!;'.re~::c.::::~:u.\~I=Z ELECTRICAL~~:Q/'ROUGH IN D ~~~ 0 PERMANENT SER.VICE D TEMPORARY SERVICE D PRECONNECT )?ASS, FAILED v' PARTIAL <... I l1 (T' I D COMMENTS: . ~) 1--\ j . l)V\ t' J ~~~~;m.;~~----~~~~_"""""'"""~~~=:==.~~tQ MECHANICAL:D ROUGH-IN D A/C D FURNACE 0 RA'bIANTHEAT D FINAL D PARTIAL PASSED FAILED D D COMMENTS: ~ ~"='"""""'"""""""""~..".",.,..".~~"'~-..,.,.'"'~ """'~~-===~"'='"~~ PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL D PRESSURE TEST PASSED FAILED D D COMMENTS: D OCCUPANCY GRANTED m CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' I., BUILDING INSPECTION REPORT ~lTY OF BLAIR D W ASHINGTC:N_COUNTY D OTHER LOCATION OF INSPECTION' /9C/S ;( / iJeE VIEW /2 d NAME OF OWNER,t)rA.Jin (:l ;;J~ ~ CONTRACTOR' DATE INSPECTION REQUESTED' ( q - / tJ -' 08 TIME INSPECTION REQUESTED' / llJ () A . fA . D STATUS CHECK PASSED FAILED D D PERMIT NO' /( J /3u L/ TYPE OF INSPECTION REQUESTED: D CONFERENCE l:..l .1_ BUILDING: D FOOTING 0 DECK FOOTING D FRAMING D DRYWALL 0 FINAL 0 PARTIAL COMMENTS: UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL COMMENTS: ELECTRICAL: D ROUGH IN 0 FINAL~ RMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT COMMENTS: D PARTIAL (1J {}PP (j MECHANICAL:D ROUGH-IN D AlC 0 FURNACE D RADIANTHEAT D FINAL 0 PARTIAL COMMENTS: PLUMBING: o GROUNDWORK D ROUGH-IN D FINAL 0 WATERMETERINSTALLED D PARTIAL D PRESSURE TEST COMMENTS: PASSED FAILED D D P AJJIb FAILED ~' D nr.......- PASSED FAILED D D PASSED FAILED D D o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' I ( I /l6US$. HAJeL, 6 Pl-Y-l- INSPEC DATE OF INSPECTION MADE: FAXED OPPD\BURTREA TO CONNECT SERVICE: ON BY TIME' fl If! .:~ ~ t+ovS[ P~NfL .. . iEJ & 7 -:b ~ - I ~ ~ ""!!Ii -:-t . .t;. .!$A~ ~ .- ~ "".... -- - . .Jb .,---- ;1-". c~_ -- -'''''''''''''' ~ ..r..... J-- .b :A: ~.~- I -~ -- ---'--'~~---,.......---- '---~ -- -~----~--~~-~------~--.---~--- . . BUILDING INSPECTION REPORT ~CITY OF BLAIR o WASHINGTON COUNTY 0 9-;rR LOCATION OF INSPECTION' ! q 9.5 t...;, d Cfl {/;; {.<J NAME OF OWNER' (1AJ!41t1 tJ.hJt CONTRACTOR' (4/;) jf DATE INSPECTION REQUESTED' :? - J;; - 0 [) TIME INSPECTION REQUESTED' / tJ. . 30 A .M, PERMIT NO' /,;; gC;/ q '-" . TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 1.---ot1 BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL ' o STATUS CHECK PASSED FARED o 0 COMMENTS: UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL PASSED FAILED o 0 COMMENTS: ELECTRICAL: 0 D ROUGH IN 0 FINAL 'i?ERMANENT SEfVICE 0 TEMPORARY SERVICE 0 PRECONNECT PARTIAL =- (laIJ tJtfJiJ ~ ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT 7 F~ED COMMENTS: MECHANICAL: 0 PASSED FAILED o 0 COMMENTS: PLUMBING: o GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED D PARTIAL o PRESSURE TEST PASSED FAILED o 0 COMMENTS: , D OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' DATE OF INSPECTION MADE: TJMF: /tJ ~~ t./7 INSPE 0' F,.G~ OP~\B.~ U T REA. t;), V ~~J g..16 ,'f) C/ TO CONNECT SERVICE: ON BY r I -A ~-- - I ,.....,.~.. .~..~~.~.,,~ . _.--"..~~ ~,r~~l::."., ;......',"...~...~,.. 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LOCATION OF INSPECTION' NAME OF OWNER' r~lvti:..,~ uJ 4 l.(_1 L( DATE INSPECTION REQUESTED' eel PERMIT NO. 1 JfOtl TYPE OF INSPECTION REQUESTED: 0 CONFERENCE ......,."".~ -'-- ~IV"lIIii ~~~ill'J!Z_ __~ - BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL o STATUS CHECK ~-- i... ~_~_..._-- ., "!fill COMMENTS: PASSED FAILED o 0 ~~~~15~ UTILITIES: 0 SEWER TfJ' 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL COMMENTS: PASSED FAILED o 0 ELECTRICAL:.O ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o 0 COMMENTS:~ PLUMBING:iL 0 GR6UNDWORK)K!" ROUGH~IN 0 FINAL'~ WATER METER INSTALLED 0 PARTIAL <' 0 PRESSURETE~T-~.(J/J.... ;/" . COMMENTS:" l/~ Jet..1- o OCCUPANCY Gll~ED fo c6~rti()NAi OCClJPANCYGMNrED ,. MECHANICAL:O ~OUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL PASSED F .AJI;EP '0 0 NOTES/REMA~s' ',I, ': ./ ~CITY OF BLAIR BlJILD1NGINSPECTION REPORT D WASHINGTON COUNTY D OTHER 0"-'- r-Z?/~ <) ()/ /1 C(..5 - )( (Vi tJ:1 [/j.p' 6..... ICO < - f/ V C- CONTRACTOR' (' Gf' -7')-', c::vr) TIME INSPECTION REQUESTE~,I f~ ;t1, LOCATION OF INSPECTION' /\ ) /f j / f NAME OF OWNE~7v11 i >'/1?t (/....~. -fhJ DATE INSPECTION REQUESTED' if ~ /?, ~o 1:..3 ,"--) /,'7' ., /.~' I' '. I ) /(_.fil.4rl .L:1L-n C,y' {/, PERMIT NO' / ;;J8oLJ I' TYPE OF INSPECTION REQUESTED: D CONFERENCE tl:......- ~. ......"""""""! 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C_' '-""'S~~"'-''''C.'_..'-_<''-''-'~_ ,...=.;' ,...,.....',~~=~._~~".".._..,..._-'-~~-~ BUILDING INSPECTION REPORT I2t CITY OF BLAIR 0 WASHINGTON COUNTY D OTHER ~ .'.... LOCATION OF INSPECTION- I '( ''7'.5 12 ( clqe {/ -if} CAJ 72d. \....J / I t I j .t NAME OF OWNER' (:1 ~.w! 1"'11.,;;{. ~~;'j ;' CONTRACTOR- DATE INSPECTION REQUESTED- t.f - Z'" 'l = 08 TIME INSPECTION REQUESTED- I : 3 0 ~) - m . I PERMIT NO- /l8c"L-! 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