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BPP1569Blair Building Permit Detail Permit #: P1569 Issued: 08/29/2006 Completed: 08/30/2006 Location: 423 S. 22nd St. Owner: Dan & Linda Eberhardt Address: 423 S. 22nd St. Blair, NE 68008 Phone: 402 533 2985 Section: Township: Subdivision: New water service. Contractors Henton Trenching, Inc. Remarks Type: Plumbing Miscellaneous Valuation: Range: Lot: General Contractor Permit Fee: 10 Issue Fee: 15 Deposit Amt.: Receipt #: Block: Permit # Issued Inspections Date By 08/30/2006 DEM Water Service Pass 08/30/2006 DEM Final Inspection of Project Pass '~ I PLUMBING PERMITAPPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: U ~~~ ~~`~ CATION P 1569 ~~ Permit Fee: $ JOB ADDRESS ~~ , _/~ ~ MAI A~;ESS ZIP OW 1 PHONE ~ . ~ ~( (~' 2 C NTRACT c~`~~ AA/J MAIL ADDRESS PHONE LICENSE NO~~~~ 3. Class of Work: O COMMERCIAL ORES ENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4. Describe Work: 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 Additional Sinks ..................... $3.00 x Laundry .................................. $5.00 x Water Heater .......................... $3.00 x Outside Water Faucet ............ $3.00 x Drinking Fountain ................... $3.00 x Back Flow/GreaseTrap .......... $10.00 NOTICE ........................ WaterService $10.00 ~ ~' ~• GU I hereby certify that I have read and examined this application and know the same to be true and correct. All Sewer .................................... $10.00 provisions of laws and ordinances governing this type of work will be complied with whether sp cified herein or not. Groundwork ............................ $10.00 The granting of a permit does not pre a to ive authority ... Septic Tank & Laterals $10.00 to violate or cancel th rovisions o a y 0th state or local ........ law regulatin co s ru 'or t e formance of Lawn Sprinkler System .......... $10.00 constr tion. Sprinkler System ................... $30.00 r~r~ercial) Gas/Water Piping System (Commercial) ....................... $30.00 SIGNATURE OF CONT A OR OR AUT IZED AGENT Permit Issuance Fee ............. $15.00 ' TOTAL DATE Current License on File Oyes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~ `c~,~~2~ Rev. 10!05 POUNOS PRTG.~Blair, NE BUILDING INSPECTION REPORT Y OF BLAIR LOCATION OF INSPE( ^ WASHINGTON COUNTY ^ OTHER ~a~ ~ s~ ~~ ~ ~~ - NAME OF OWNER~~ ~ C/1 "U'~ !~ w / ~,EX////t.~«'('UN'1'KA(;lU ~ ~•.~, ~ ~/~~ ,~, - - DATE INSPECTION REQUESTED•~~ Q w " TIME INSPECTION REQUESTED• / v ` ~ ~ ~~ ~ PERMTI' NO• /~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL _ _ INAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: r UTII,TPIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE WATER SERVICE PASSED FAILED ^ PARTIAL ~ ^ ^ COMMENTS: ELECTRICAL: ^ ^ COMMENTS: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL PASSED ^ FAILED ^ MECHANICAL: ^ COMMENTS: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT - ^ FINAL ^ PARTIAL . PASSED ^ FAILED ^ PLUMBING: ^ ^ COMMENTS: GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PRESSURE TEST PASSED ~ FAILED ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• OF INSPECTION r~~ /~' FAXED OPPDIBURT REA TO CONNECT SERVICE: - ~`<`~ _t ~_ ~. ,, •~ , • ~ ,~ '~_ •. , ~' • ~~ e.,~y~.~ i.. ~.. '~ ~ , :;~ a x i ;~