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BPE2490Blair Building Permit Detail Permit #: E2490 Issued: 06/12/2006 Type: Electrical Miscellaneous Completed: 06/13/2006 Valuation: Location: 650 Industrial Park Dr. Owner: ABC Permit Fee: 52 Address: 650 Industrial Park Dr. Issue Fee: Deposit Amt.: Blair, NE 68008 Receipt #: Phone: Section: Township: Range: Subdivision: Lot: Hooking up electrical service for Temp. trailer Contractors Commonwealth Electric General Contractor Remarks Block: Permit # Issued Inspections .Date By 06/13/2006 DEM 06/13/2006 Final Inspection of Project Pass 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 2 4 9 0 Application Date: ~ _ ~ ~ ~ ~ • °~ Permit Fee: $ JOB ADDRESS (~~~l c J v S[ ~ , 1 LEGAL O SEE ATTACHED SHEET DESCR. 2 OWNCR ~ /1 MAIL ADDRESS ZIP HOME PHONE (.,, WORK/CELL PHONE 3 CO RACTOR _ MAILADDRESS PHONE HOME PHONE ~j ~s~,~%~ WORKICELL PHONE ~ {p ~ ~ L~~ 4. Class of Work: ~ NEW RESIDENTIAL O NEW COMMERCIAL ~ REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~~ ~ ~ ~ !~ 6. Current License on File es p No O NA Completion Date _~~, •- / 3 ''~ ~ 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 S stem $10.00 y ................. 301-400 Amp Fee ............................ $ 42.00 Signs ..................................... $15.00 401-500 Amp Fee ............................ $ 55.00 501-600 Am Fee $ 67.00 p ............................ 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 ~ ~' v~ IF OVER 1000 Amp Amp Fee ~ 1st 1000 Amp Fee ....................... $117.00 j ~._ J,~ 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 k i l b wor e complied with whether specified herein or not. w l 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 ~ ~ ~ /~l~j -03~ ~ # Fixed Outlets x $3.00 Motor(s) x $3.00 ' Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 ~~ `~~ -(~ (p Permit Issuance Fee .............$15.00 ~S~ `~ DATE TOTAL J~ ~ `~ t, WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: L C ~~ POUNDS PRTG.-Blair, NE Rev. 11/99 BUILDING INSPECTION REPORT ^ CITY OF BLAIR ^ WASHINGTON COU/N' TY~ l ^ OTHER ~, Q LOCATION OF INSPECTION: l~ ~ v ~ ~ ~~"" NAME OF OWNER• ' 1 ~ ~ CONTRACTOR: 1 (J DATE INSPECTION REQUESTED• ~ _ r TIME.INSPECTION REQUESTED• I ' ~~ PERMTI' NO• ~~ I ~ v TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ ST~7)U~ ~I~ECK 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 ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: /7 DATE OF INSPECTION ~' 1~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ~f~~~'_ s " ~,.,~. - r n~•, •~ „, ~~ i~ ~ ~ -~. P - ~ F ::