E2420City of Blair Building Permit Detail
Permit #: E2420 Issued: 03/13/2006
Completed: 03/17/2006
Location: 1403 Maple Drive
Owner: City of Blair
Address: 218 S. 16th Street
Blair, NE 68008
Phone: 402 426 4191
Section: Township:
Subdivision:
Running 100 amp service to PRV station.
Contractors
Judt Electric
Remarks
Type: Electrical Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 28
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
03/17/2006 DEM Final Inspection of Project Pass
03/17/2006 DEM Electrical Final Pass
ELECTRICAL PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~~ (~~ U l3~
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CATION
Permit E Z 4 Z O
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Permit Fee: $
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3 CONTRACT ~ MAILADDRESS PHONE HOME PHONE
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4• Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL p REMODELING/ADDITIONS ~ SERVICE
5• Describe Work: ~~ `~~ ~' ~ , ~D ~~)
6. Current License on File ~(es D No p NA Completion Date
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 Si ns $15.00
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401 -500 Am Fee $ 55.00
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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 / ~~
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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)
SIG URE OF CON ACTOR OR AUTHO
RIZED AGENT # Apparatus X $3.00
~/~
''~ V ~ Permit Issuance Fee ............. $15.00 ,t~• ~~
DATE
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By, ~~/~ `)
ruurvus rh i ~: diair, rvt nev. i uaa
TTY OF BLAIR
LOCATION OF INSPECTION:
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
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NAME OF OWNER ~/~G~/~ ~ ~~~~~ CONTRACTOR: V~'~"~
DATE INSPECTION REQUESTED• ~ _ /~~~~" TIME INSPECTION REQUESTED• PERMIT N0: ~~Y ~Q
//.' 4 A •
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PAS D FAILED
COMMENTS: ^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
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ELECTRICAL: ^ ROUGH ` ~ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PAS D FAILED
COMMENTS: ^ PARTIAL` ~ /~D ~~ (~ „ I `/~ ~ ~ ~~ ~/~~G2~ ^
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:
`AXED ~ T REA
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DATE OF INSPECTION MADE: / <~ D
TO CONNECT SERVICE:
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