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E1982City of Blair Building Permit Detail Permit #: E1982 Issued: 7/14/2004 Type: Electrical Miscellaneous Completed: 7/14/2004 Valuation: Location: 877 N. 25th Street Owner: Moren Nidya Permit Fee: 26 Address: 877 N. 25th Street Issue Fee: Deposit Amt.: Blair, NE 68008 ~ Receipt #: Phone: Section: Township: Range: Subdivision: Lot: Block: New meter socket -storm repair Contractors Hipnar Electrical General Contractor Permit # Issued Remarks Inspections Date By 7/14/2004 DEM Electrical Final Pass ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 19 8 2 Application Date: ~ ~ ~ ~1 ~~~ Permit Fee: $ ~~ ~~`~ JOB ADDRESS ~~ (~ 1 LEGAL 1 • DESCR. O SEE ATTACHED SHEET 2 0 NER ~1 MAILADDRES ZIP HOME PHONE ~~ ~ ~ ~~-~ _ y WORK/CELL PHONE ,3 0 TRACTOR ^M~AIL ADDRESS ~~ '~ PHONE HOME PHONE `/ (~ ~ ~ ~~ ~ ~ ~ I ~ ~ ! / - WORK/CELL PHONE . \D C L 4. Class of Work: ~ NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~ ~1.~ ~,f ' ~ Z,G~-~-~- - a~~ iyl ~2 ~t--C Y 6. Current License on File p Yes p No O NA Completion Date ~ d ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00 201-300 Amp Fee ............................ $ 30.00 Fire Alarm System ................. $10.00 301-400 Amp Fee ............................ $ 42.00 Signs ..................................... $15.00 401-500 Amp Fee ............................ $ 55.00 501-600 Amp Fee $ 67.00 Miscellaneous Apparatus ...... $11.00 ~ •~'~ 601-700 Amp Fee ............................ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105,00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117,00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ......,.,.. $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Area) NOTICE Single/Two Family Dwellings I hereby certify that I have read and examined this sq. ft. x .045 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $.75 law regulating construction or the performance of Smoke Detectors x $3.00 construction Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR ALrrHORIZED AGENT # Apparatus x $3.00 ~-~ ~`~ ~~ ~ Permit Issuance Fee ............. $15.00 ~ ~ ~~ DATE TOTAL 2~- ~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: l~-C~'Y POUNDS PRTG: Blair, NE Rev. 11/99 ` ~ BUILDING INSPECTION REPORT CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~ ~~ ~ Z-~ ~ ~ ~~ ' NAME OF OWNER: ~~ iL~~e I~~1 •l ~ (Cl-`-t ~- CONTRACTOR: ~~ ~"1C:1-={~ C~_ UL~' DATE INSPECTION REQUESTED: ~ f ~ ~ ~ ~~ ~ TIME INSPECTION REQUESTED: ~ PERMIT N0: ~ 1 ~ U ~- TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS 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 ATE OF INSPECTION MADE: 1 TO.CONNECT SERVICE: ON BY U ~ TIME: / ` - _~.