E2430City of Blair Building Permit Detail
Permit #: E2430 Issued: 3/29/2006
Completed: 5/3/2006
Location: 218 S. 16th St.
Owner: City of Blair
Address: 218 S. 16th St.
Blair, NE 68008
Phone: 426-4191
Section: Township:
Subdivision:
3 outlets
Contractors
Dick's Electric
Remarks
Type: Electrical Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 0
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
5/3/2006 DEM Final Inspection of Project Pass
5/3/2006 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: ~' ~~~~~~
CATION
Permit E 2 4 3 0
Permit Fee: $
JOB ADDRESS ,// ` ~/ _
~// ~J'~
1 LEGAL
0 SEE ATTACHED SHEET
DESCR.
~~~ ZIP
2 OWNE MAILADDRESS' (~
O
~~~
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yyORK/C
ELLPHONE
,3 CONTRACTO MAI~L9ADDRESS /~CPHONE~~~~ WORK/CELLPHDNE ~~~ ~j
l~~ ~~vN ~U' ~~ Q,~/ /~ L
4. Class of Work: 0 NEW RESIDENTIAL O NEW COMMERCIAL 0 REMODELING/ADDITIONS O UPGRADE SERVICE
5• Describe Work: ~ ~~~ ~ ~
6. Current License on File ~(es p No O 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 S stem $10.00
y .................
301-400 Amp Fee ............................ $ 42.00 Si ns $15.00
g """"""""""""""~"'~~~~~
401 -500 Am Fee $ 55.00
P
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
a
~
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 AUTHORI D AGENT # Apparatus X $3.00
- ~-~~ Permit Issuance Fee $15.00 ~~ ' ~~
DATE
TOTAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~ `~~
POUNDS PRTG.-Blair, NE Rev. 11/99
~ITY OF BLAIR
LOCATION OF INS]
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^
~'`
NAME OF OWNER• ~Gl'!/~i CONTRACTOR~~.~~ VJ~ ~~C/ C~ ~dL~ G~
DATE INSPECTION REQUESTED• ~ - ~ ~" ~ ll~ TIME INSPECTION REQUESTED: F I I PERMIT NO_ ~~ T ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ,FINAL oo^ PARTIAL
COMMENTS: ~ ~ ~ ~-•CX~ PASS FAILED
^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ -WATER SERVICE
^ PARTIAL
COMMENTS: PASSED .FAILED
^ ^
ELECTRICAL: ^ ROUGH IN ,(FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
^ PARTIAL
COMMENTS: PASS FAILED
^
MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL
COMMENTS: PASSED FAILED
^ ^
PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
^ PRESSURE TEST
COMMENTS: PASSED FAILED
^ ^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
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INSPE -DATE OF INSPECTION MADE: ..-~ ~ J
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY TiMF.• /~ U