P1479City of Blair Building Permit Detail
Permit #: P1479 Issued: 4/3/2006
Completed: 5/3/2006
Location: 210 S. 17th St.
Owner: City of Blair-Library
Address: 218 S. 16th St.
Blair, NE 68008
Phone: 426-4191
Section: Township:
Subdivision:
Adding a Backflow preventer to Library
Contractors
Plumbing Works, Inc.
Remarks
Type: Plumbing Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 0
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
5/3/2006 DEM Plumbing Final Pass
5/3/2006 DEM Final Inspection of Project Pass
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 14 7 9
Fax (402) 426-4195 P
(402) 426-4191
Application Date: ~ ~~~~~
Permit Fee: $
JOB ADDRESS -
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1 . OWNE ~ MAIL ADDRESS
Q.~/~/ ZIP PHONE
CONTRAC MAIL ADDRESS PHONE
2. ~~ ~~ a ~0 9B
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~ ~ LICENSE NO.
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3. Class of Work: OMMERCIAL O RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT
4. Describe Work: Gz~ Cd.. Q'(~,~ GLJ ,~~
Comments: PLUMBING PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture No.
Kitchen .................................. $8.00 x
Bath ....................................... $8.00 x
Rough-In Bath ....................... $4.00 x
Slop SinWLaundry Tray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Drinking Fountain .................. $3.00 x
a o
........................
$10.00 /~• l>U
NOTICE Sewer .................................... $10.00
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 provisions of any other state or local Sprinkler System ................... $30.00
law regulating construction or the performance of (Commercial)
construction.
Gas/Water Piping System
(Commercial) ............................$30.00
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Permit Issuance Fee ............. O~
$15.00 ~~'
SIGNA E OF CONTRACTOR OR AUTHORIZED AGENT
TOTAL o
TE Current License on File ~es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: <~~~
nev, aiau
BUILDING INSPECTION REPORT
~~CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECT N: ~ ~ (/ V ~ / ~ c~~
NAME OF OWNER• fL!/I `-t '" 'CON CTOR: c~~ Cl~ ~~~
DATE INSPECTION REQUESTED• ~ TIME INSPECTION REQUESTED• ~~ PERMIT NO•
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUII,DING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL INAL ^ PARTIAL PASSE FAILED
COMMENTS:
UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED
^ PARTIAL ^ ^
COMMENTS:
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 ~INAL ^ WATER METE .STALLED ^ PARTIAL
PRESSURE TEST ~~ „ j ~
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~~
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" PASS FAILED
^
COMMENTS: D ~ ~
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^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY
NOTES/REMARKS•
INSPECTION MADE: ~~ ~ TIDRE~ / ~- ~C
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY