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E2445City of Blair Building Permit Detail Permit #: E2445 Issued: 4/17/2006 Completed: 4/17/2006 Location: 1301 Butler St Owner: City of Blair Address: 218 S 16th Street Blair, NE 68008 Phone: Section: Township: Range: Subdivision: Lot: Wiring (1) scoreboard. Contractors Dick's Electric Remarks Type: Electrical Miscellaneous Valuation: General Contractor Permit Fee: 0 Issue Fee: 0 Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 4/17/2006 DEM Final Inspection of Project Pass 4/17/2006 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 4 5 Application Date: ~- I~-~ Permit Fee: $ ~' JOB ADDRESS ~ ~-, ~ ~~- F: ~ l 1 LEGAL O SEE ATTACHED SHEET DESCR. OWNE ~ °~ MAIL ADDRESS ZIP HOME PHONE 2 ' . ~, ~ ~ WORK/CELL PHONE 1 Q ~ ,3. CONT CTO~ ~\~ MAILADDRESS PHONE HOME PHONE WORK/CELL PHONE 4. Class of Work: O NEW RESIDENTIAL D NEW COMMERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: e 6. Current License on File Yes O No DNA 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 Signs ..................................... $15.00 401-500 Amp Fee ............................ $ 55.00 ' 501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 1., -~- 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 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 AUTHORIZED GENT # Apparatus x $3.00 L~ ~^ l ~^~~ Permit Issuance Fee $15.00 , ~~~ '~~ DATE i' l TOTAL .• WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG.-81air, NE Rev. 11/99 BUILDING INSPECTION REPORT ^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER J~ }- LOCATION OF INSPECTION• ~ ~ V 1 ~ ~ T~ NAME OF OWNER: l.cJ`^~ ~ """"`"" CONTRACTORS I DATE INSPECTION REQUESTED• ~ ~ + ~ TIME INSPECTION REQUESTED• ~ " PERMITNO• " ~ ~ 7 ~~ 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 ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SE~VICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS FAILED ^ PARTIA ~'" "" '~ ^ 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• OF INSPECTION ~~`o FAXED OPPD~BURT REA TO CONNECT SERVICE: ~ ~ ~~ ~ ~ V ~_} 1 r 11 ~~ _ .1 -. _. r ""~ r T 1 . W~ -: ~a r. "~.,.~ ..t ~ ~,.~ _,~ ` G t-~' .~~~c ~ e • r ( .. n. ~.~]Q' ~ ,~ -+. ~. , _ . : ~"rr ~... ~+ ~ •M-r. o~ '~ `~ ,~ . -~2 ~;,~, '':a `~ h uu y a. r~,o'.~ ~~~~ i n ~ 4,~ 4. { ty~ •. r~ ~ ~ r ~~Y 1 1 ~~~~ ~ la ~ ... __.. _i '~ J