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E2474Blair Building Permit Detail Permit #: E2474 Issued: 5/18/2006 Completed: 5/19/2006 Location: 12363 Rose Lane Owner: Country Estates Address: 12363 Rose Lane Flair, NE 68008 Phone: 402 426 2008 Section: Township: Range: Subdivision: Lot: 200 amp meter disconnect Contractors Dick's Electric Remarks Type: Electrical Miscellaneous Valuation: General Contractor Permit Fee: 33 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 5/19/2006 DEM Final Inspection of Project Pass 5/19/2006 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 Application Date: ~-1 ~ ~ lJ Permit Fee: $ ~:-~~ ~ ~~ JOB ADDRESS ~ ~~ % ~ ~ n n ~ ' ~1 M / ` Y lN/'~ 1 LEGAL p SEE ATTACHED SHEET DESCR. ",A ~ / MAIL ADDRESS ~ ZIP HOME PHONE 2 OWNER J ~ ~~ (~ ~ O `~ (~y0 ~ ~ WORK/CELL PHONE (! i ( j // ,3 CONTRACTOR ~~ 1 /~.~ MAiCA~DRESS / ~ R ~ / ~ ~ ~~ /~ yyORKICELL PHONE (y (~ (9 0 REMODELING/ADDITIONS O UPGRADE SERVICE 4. Class of Work: p NEW RESIDENTIAL O NEW COMMERCIAL 5. Describe Work: ~ ~~~ ~ ~ ~~ 6. Current License on File ~s p No O NA Completion Date . ] Z~~~~' 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 Signs ..................................... $15.00 401-500 Amp Fee ............................ $ 55.00 501-600 Am Fee $ 67.00 p ............................ 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 / l~ ~ ~~ 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 ~ ~~~-c~~. _,~ ~ .~~ _ Motor(s) x $3.00 Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR AUTHORI D AGENT # Apparatus X $3.00 (L ~ ~ ~ ~ U L Permit Issuance Fee ............. $15.00 ~~ ~ U~ DATE TOTAL ~~c3 ` ~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment:. ,p,~ I ~ ' Approved By: ~y'" I~ ~ ~ ~lll IAIIIC DOT!! GI..i. AIC 0.... 11I[1[f BUILDING INSPECTION REPORT ^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ LOCATION OF INSPE ON• NAME OF OWNER• ~~ S~ DATE INSPECTION REQUESTED• ~ ~~ ~~ TIME INSPECTION REQUESTED: ~~ ~~~ ~' ~' PERMTI' NO: ~ °~~ ~T TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTH,ITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS FAILED COMMENTS: ^ PARTIAL ~G,~ ~1' 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 OCCUPANGY-GRANTE NOTES/REMARKS: DATE OF INSPECTION MADE: ~ TTMF• /` 1~~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY