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M1354City of Blair Building Permit Detail Permit #: M1354 Issued: 02/03/2006 Type: Mechanical Miscellaneous Completed: 02/06/2006 Valuation: Location: 805 N. 22nd St. Owner: Good Shepherd Permit Fee: 25 Address: 805 N. 22nd St. Issue Fee: Deposit Amt.: Blair, NE 68008 Receipt #: Phone: Section: Township: Range: Subdivision: Lot: Electric furnace replacement in downstairs parking. Contractors Washington County Heating & A/C Inc. General Contractor Judt Electric Electrical Subcontractor Remarks Block: Permit # Issued E2397 02/03/2006 Inspections Date By 02/06/2006 DEM Final Inspection of Project Pass 02/06/2006 DEM Mechanical Final Pass 02/06/2006 DEM Electrical Final Pass ~~' MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 13 5 4 Fax (402) 426-4195 M (402) 426-4191 ?~ r Application Date: ~o'~ O Permit Fee: $ ~ ~ JOB ADDRESS 1 OWNE /I /~ AIL DDRESS ~~ ZIP PHONE f0 ~/ MAILA D S ~~~ PH E ~ ~ LICENS~~~~~ 2 CONTRACT0 /~' 3• Class of Work: ~ OMMERCIAL O RESID NTIAL O ALTERATION O REPAIR °~EPLACEMENT O NEW O ADDITION 4• Describe Work: Q' ~ Cl'~~l~J Central A/C Tons MECHANICAL PERMIT FEES Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit Commercial/Residential (New) .................................................... $25.00 # of Units '°'/C Air-Conditioner Unit -Per Unit Furnace Commercial/Residential (New) .................................................... $10.00 ~~ ~ ~~ ~ Forced Air Systems/Air Conditioner Unit Replacement Per Unit Commercial/Residential ................... $10.00 Completion Dat 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 r i i f th t t l l p ov s ons o any o er s a e or oca law regulating construction or the performance of ~~ Permit Issuance Fee ............................... $15.00 ' construct ff'' TOTAL ~~' ~ V GNATURE OF CONTRACTOR OR AUTHORIZED AGENT ~~~~ ~ Current License on File es O No O NA DATE ` WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: ~~ , ~ 0~ Approved By: O~J~ `~' V' POUNDS PRTG: Blair, NE Rev. 4/9B ELECTRICAL PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Dater ~~ ~dl.~ CATION Permit E 2 3 9 7 ~~- ~~35~ Permit Fee: $ - ~~ JOB ADDRESS ~~ D ~ (~ ~ ~~~ ~ / G~ 1 • DESCR. O SEE ATTAC D SHEET 2 OWNER ~ ~ ~/ MAILADDRESS ~ ~~~ Q ZIP HOME PHONE DO L'~!'"" WORK/CELL PHONE (..~/ ,3 CONTR TOR ~~~ / ~ ILADDR ,/ ~~ PHq ~/ ~~ '~~~ ~ ~ WORK/CELLPHONE / 4. Class of Work: 0 NEW RESIDENTIAL O NEW COMMERCIAL O EMODELING//ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~ ~ ~~ • ~ . Q ~ ~~~,~ 6. Current License on File ~es O No NA Completion e New Service Fee = (Amp Fee + $2.0o per branch circuit) ELECTRICAL PERMIT FEES 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 System ................. $10.00 301-400 Amp Fee ............................ $ 42.00 Signs $15.00 ..................................... 401-500 Amp Fee ............................ 55.00 501-600 Amp Fee ............................ $ 67.00 - D U 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 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 w rk will be com li d ith h th ifi d h i t o p e w w e er spec e ere n or no . 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 r ~ # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) SI URE OF CONT ACTOR 0 HORIZED AGENT # Apparatus x $3.00 ~ ~ ~ ~ ~ 3 '~ Permit Issuance Fee ............. $15.00 ~~~ O DATE TOTAL a~ ~ D WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: ~ ~ , ,~~ Approved By: ~r~n ~ POUNDS PRTG: Blair, NE Rev. 11199 - ~ ..~ ._ ~ T T . , T_ __ _ _ ~ T T BUILDING INSPECTION REPORT '' ~TI'Y OF BLAIR ^ WASHINGTON COUNTY ~ ^ OTHE LOCATION OFINSPECTION• ~~`°' 111. • ~~•~~Vy~' ~~`~~~~ ~'~'~~ NAME OF OWNER• ~~~~ C _~~(1~/ ~~ CONTRACTOR: C.~t/~~'~~ ~~ ( DLUYI T~ DATE INSPECTION REQUESTED• ~ / ~~~__ ~ ~ ~ TIME INSPECTION REQUESTED• ~ PERMIT NO• /~ ~~3~ ~ { TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CH C BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ UTILTI'IES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED. ^ PARTIAL ^ ^ __- COMMENTS: ELECTRICAL: ^ ROUGH IN FINAL ^ PARTIAL COMMENTS: l MECHANICAL: ^ ROUGH-IN ^ A/C COMMENTS: SERVICE ^ CMG' ~~ FURNACE ^ RA RYSERVICE ^ PRECONNECT Ala ~P FINAL ^ PARTIAL FAILED ^ _ FAILED PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• ~ i~ - ~=- FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY