P1475City of Blair Building Permit Detail
Permit #: P1475 Issued: 3/24/2006
Completed: 3/24/2006
Location: 1663 Nebraska St.
Owner: Hank Gregory
Address: 2068 Nebraska St.
Blair, NE 68008
Phone: 402 426 4414
Section: Township:
Subdivision:
Water Service Repair.
Contractors
Henton Trenching, Inc.
Remarks
Type: Plumbing Miscellaneous
Valuation:
Range:
Lot:
General Contractor
Permit Fee: 25
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Inspections Date By
3/24/2006 DEM Water Service Pass
3/24/2006 DEM Final Inspection of Project Pass
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 14 7 5
Fax (402) 426-4195 P
(402) 426-4191
Application Dater ~'~~' o~
O NEW O ADDITION D ALTERATION
JOB ADDRESS /~~ ~ ~/~~~~ ~~+
1 . OWNER
2 CONTRA
3• Class of Work: O COMMERCIAL
4• Describe Work: /, l., /_ A
Comments:
f~' ~
Permit Fee: $ ~~ `
/ LICENSELICENSE N0. /~
~dLF9 `Q~~~
PAIR O REPLACEMENT
PLUMBING PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture
Kitchen .................................. $8.00 x
Bath ....................................... $8.00 x
Rough-In Bath ....................... $4.00 x
Slop Sink/Laundry Tray ......... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Drinking Fountain .................. $3.00 x
MAIL ADDRESS ~ ~ ~ ~ Zlp
MAIL ADDRESS PHONE
NOTICE
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
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
construction.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
DATE
Water Service ........................ $10.00
Sewer .................................... $10.00
Groundwork ........................... $10.00
Septic Tank & Laterals .......... $10.00
Lawn Sprinkler System ......... $10.00
Sprinkler System ................... $30.00
(Commercial)
Gas/Water Piping System
(Commercial) ............................ $30.00
Permit Issuance Fee ............. $15.00
No.
~~~ Do
~~•~~
TOTAL ~~~ . lS
Current License on File OYes O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
~~' ~~ .
POUNDS PRTG: Blair, NE Rev. M98
_.
=BUILDING INSPECTION REPORT
~ITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER-
LOCATION OF INSPECTION• /~ ~ ~ ~~ Qa~C~
NAME OF OWNER• /~/ ~ •~ ~~~sD'Ll~ CONTRACTOR: ~~~~ ~~7 ~~17 (~i ~
DATE INSPECTION REQUESTEDS ~=~ 7 '~ ~ TIME INSPECTION REQUESTED: /~ QC/ ~ M• PERMTI' N0: ~~~
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK
BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL FINAL ^ PARTIAL PASS FAILED
COMMENTS: ^
UTILTPIES: ^ SEWER TAP - ^ SEWER ^ SEPTIC ^ WATER TAP . ^ REMOTE WATER SERVICE PAS D FAILED
^ PARTIAL ~ ^
COMMENTS: ~OO,f~CIVL
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•
T ~
FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY