P1473City of Blair Building Permit Detail
Permit #: P1473 Issued: 3/15/2006
Completed: 3/15/2006
Location: 1038 James Dr.
Owner: Steve Cook
Address: 1038 James Dr.
Blair, NE 68008
Phone: 402 426 2682
Section: Township: Range:
Subdivision: Lot:
Sewer repair.
Contractors
Henton Trenching, Inc.
Remarks
Type: Plumbing Miscellaneous
Valuation:
General Contractor
Permit Fee: 25
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
3/15/2006 DEM
3/15/2006 Sewer Lines Pass
DEM Final Inspection of Project Pass
Application Date
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 14 7 3
Fax (402) 426-4195 P
(402) 426-4191
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Permit Fee: $ ~~
JOB ADDRESS /a /L2 AM ~ n
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1 . OWNER ~~~~ /, Q~~ MAIL ADDRESS ZIP ,PHONE f ~~
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2. CONTRACTOR ~, ~~~ ~ PHONE LICENSE NO.
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3• Class of Work: O COMMERCIAL ~ RESIDENTIAL O NEW O ADDITION O ALTERATION ~EPAIR O REPLACEMENT
4• Describe Work: ~~ ~~
Comments: PLUMBING PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture No.
Kitchen .................................. $8.00 x
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Bath .......................................
Rough-In Bath .......................
$8.00 x
$4.00 x
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Slop Sink/Laundry Tray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Drinking Fountain .................. $3.00 x
Water Service ........................ $10.00
Sewer .................................... $10.00 ~ `U • D U
NOTICE
I hereby certify that I have read and examined this Groundwork ........................... $10.00
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority Lawn Sprinkler System ......... $10.00
to violate or cancel the provisi s a other state or local Sprinkler System ................... $30.00
law regulating n ructi t ~ erformance of (Commercial)
construction.
Gas/Water Piping System
(Commercial) ............................ $30.00
Permit Issuance Fee ............. $15.00 ~~ ~~
I NA RE OF CO T OR AUTHORIZED AGENT
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TOTAL
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/ ATE Current License on File es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: C <~
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POUNDS PRTG: Blair, NE Rev. 4/98
BUILDING INSPECTION REPORT
TI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION• /D 3S L/~'~ia'
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NAME OF OWNER ~.J
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CONTRACTOR: C~
DATE INSPECTION REQUESTED: ~ ~ ~ '~ (Y TIME INSPECTION REQUESTED: /-~ ~ PERMIT N0: ~~ ~ /_,3
TYPE OF INSPECTION REQUESTED: ~ ^ CONFERENCE ^ STATUS CHECK
BUII,DING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASS D FAILED
COMMENTS
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UTILITIES: ^ SEWER TAP EWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PAS D FAILED
^ PARTIAL ^
COMMENTS:
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ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED
^ PARTIAL ^ ^
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•
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DATE OF INSPECTION MADE• ~ TIDIF
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FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY
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