E2378City of Blair Building Permit Detail
Permit #: E2378 Issued: 1/4/2006
Completed: 1 /5/2006
Location: 2045 South St.
Owner: Erica Churchill
Address: 2045 Colfax St.
Blair, NE 68008
Phone: 402 960 3240
Section: Township:
Subdivision:
Upgrade electrical service.
Contractors
Hipnar Electrical
Remarks
Type: Electrical Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 25
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
1/5/2006 DEM
1/5/2006 Final Inspection of Project Pass
DEM Electrical Permanent Service Pass
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date:
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Permit E 2 3 7 8
Permit Fee: $ ~~` W
JOB ADDRESS ~~ ~ /) ,., n
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1 LEGAL
SEE ATTACHED SHEET
DESCR. ~
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4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL 0 REMODELING/ADDITIONS GRADE SERVICE
5• Describe Work: ~~~ `~,~~n~L~ ,S~Y~ IrC~.
6. Current License on File I~Nes p No ~ NA Completion Date
New Service Fee = (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES //~~
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1-100 Amp Fee ............................ $ 13.00 x
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ce ...... $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 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
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ll 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)
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00
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Permit Issuance Fee $15.00 l S ~ V
DATE
TOTAL a5 `~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Comment: ~~J.yl~U~~'~J,[q~ ~, ~ "" I Approved By: ~~ ~ (I
per`'"' i~ CAS ,(,nom
POUNDS PRTG.-Blair, NE Rev. 11/99
BUILDING Ir
~] CTTY OF BLAIR ^ WASHINGTON COUNTY
LOCATION OF INSPE ION• ~ +~
NAME OF OWNER•~~' '~`~' ~ ~- `
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TION PORT
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OTHER
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DATE INSPECTION REQUESTED• ~ `••~'~~ TIME INSPECTION REQUESTED• 'CJJ / ' ' PERMIT NO•
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED
^ ^
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED- FAILED
^ PARTIAL ^ ^
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COMMENTS: ,
ELECTRICAL: ^ ROUGH IN
^ PARTIAL
COMMENTS
FINAL ~ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL
COMMENTS:
FAILED
PASSED FAILED
^ ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED
^ PRESSURE TEST ^ ^
COMMENTS:
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
FARE PPD~BURT REA ~~ TO CONNECT SERVICE: ON ' BY
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