E2432City of Blair Building Permit Detail
Permit #: E2432 Issued: 4/4/2006 Type: Electrical Miscellaneous
Completed: 4/4/2006 Valuation:
Location: 12343 Rose Dr.
Owner: Country Estates Permit Fee: 28
Address: 12343 Rose Dr. Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township: Range:
Subdivision: Lot: Block:
50 amp outlet (new}
Contractors
Dick's Electric General Contractor Permit # Issued
Remarks
Inspections Date By
4/4/2006 DEM Final Inspection of Project Pass
4/4/2006 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 ~
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Permit Fee: $
JOB ADDRESS
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1 LEGAL ~ SEE ATTACHED SHEET
DESCR.
2 OWNER MAIL ADDRESS ZIP HOME PHONE
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WORK/CELL PHONE
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3. CONTRACTOR MAIL ADDRES PHONE a~ HOME PHONE / //~~" /
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4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE
5. Describe Work: ~ ~~ ~
6. Current License on File ~S'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
y .................
Fire Alarm S stem $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 ~~. QQ
Each additional 100 Amps .....,..... $ 13.00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single~f-wo 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
U Power Apparatus (220 Volts)
SIGNATURE OF CONTRACTOR OR AUTHO ED AGENT # ApparatUS X $3.00
(J ' ~ ~''~ ~ Permit Issuance Fee ............. $15.00 ~~'~• ~ ~
DATE
TOTAL ~~' ~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: A roved B
POUNDS PRTG.-Blair, NE Rev. 11/99
BUILDING INSPECTION REPORT
~TI'Y OF BLAIR ^ WASHWGTON COUNTY ^
LOCATION OF INSPECTION:
~~
NAME OF OWNER~1~?~ : DJILf/~ ~c~~Ct.~,Q~ CONTRACTOR: ~~~ ~./' 'L,~'.~C~°
DATE INSPECTION REQUESTED• ~ ~ ~.. ~~ TIME INSPECTION REQUESTED• PERMPI' N0: ~ ~7 ~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL FINAL ^ PARTIAL PASS D FAILED
COMMENTS:
^
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^
COMMENTS: PARTIAL ^ ^
ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PAS D FAILED
^
COMMENTS: PARTIAL ~D ~ ^
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:
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