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M1416Blair Building Permit ®etail Permit #: M1416 Issued: 7/25/2006 Completed: 8/9/2006 Location: 237 N. 13th St. Owner: Con-E-Co Address: 237 N. 13th St. Blair, NE 68008 Phone: 402 426 4181 Section: Township: Range: Subdivision: Lot: A/C Replacement=2 tons. Type: Mechanical Miscellaneous Valuation: Contractors Washington County Heating & A/C Inc. General Contractor Remarks Permit Fee: 25 Issue Fee: Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 8/9/2006 DEM Mechanical Final Pass 8/9/2006 DEM Final Inspection of Project Pass _ i i MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 1416 Fax (402) 426-4195 M (402) 426-4191 Application Date: / ~~ ~~ Permit Fee: $ ~~' JOB ADDRESS , 1 . OWNER ~ ~ P MAIL ADDRESS N Mw , ZIP ~~,w PHON GV" N !j' r CONTRACTOR, ~ ~ MAIL ADDRES PHONE LICENSE NO.~~ ~ ' ~- 3. Class of Work: COMMERCIAL O RESIDEN AL O NEW O ADDITION O ALTERATION O REPAIR ,PLACEMENT 4. Describe Work: ~ Central A/C ~ Tons MECHANICAL PERMIT FEES Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit Commercial/Residential (New) .................................................... $25.00 # of Units A/C Air-Conditioner Unit -Per Unit Furnace .. . $10.00 Commercial/Residential (New) .............................................. : Forced Air Systems/Air Conditioner ~~ ©G G7~ 1,~~ ~~ Unit Replacement Per Unit Commercial/Residential ................... $10.00 Completion Date: U Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ..................... $10.00 Comments: Appliance Vent/Fans ...............................$10.00 Boiler .......................................................$15.00 Duct System ............................................ $10.00 Gas/Air Outlets .................. x $2.00 NOTICE Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of ........... $15.00 Modular Home work will be complied with whether specified herein or not. .............................. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of Permit Issuance Fee ............................... $15.00 ~~'•~~ construction. TOTAL ~J'r ~'~ SIGNATUR OF CONTRACTOR OR AUTHORIZED AGENT //~~ ATE Current License on File ~s O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: - Approved By: ~ ;~ ~~~-r'~ BUILDING INSPECTION REPORT ITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: I ~~ ~ /~/ • ~3'`~`" C~T. NAME OF OWNER: - ~ '" ~r L U CONTRACTOR • !~l/~D`'I~Lh~1 L "D /~/ ~ / ~I"C~ . DATE INSPECTION REQUESTED: // ~ / ~ U(.f~ TIME INSPECTION REQUESTED~~ PERMIT NO• TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL VAL ^ PARTIAL PASSED FAILED COMMENTS: ~ ^ UTH.TPIES: ^ SEWER TAP ^ SEWER ^ .SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT ^ PARTIAL PASSED ^ FAILED ^ COMMENTS: MECHANICAL: ^ ROUGH-IN A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PAS D FAILED COMMENTS: ~ ~~I'Vy Q ~~~~ t ~ ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: DATE OF INSPECTION nM' FAXED OPPD~BURT REA TO CONNECT SERVICE: