M1353City of Blair Building Permit Detail
Permit #: M1353 Issued: 02/03/2006
Completed : 02/06/2006
Location: 334 N. 16th St.
Owner: Washington County Htg.
Address: 334 N. 16th St.
Type: Mechanical Miscellaneous
Valuation:
Blair, NE 68008
Phone: 402 533 2550
Section: Township: Range:
Subdivision: Lot:
Furnace replacement 80,000 BTU/H
Contractors
Washington County Heating & A/C Inc. General Contractor
Remarks
Inspections Date By
02/06/2006 DEM Final Inspection of Project
Permit Fee: 25
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Permit # Issued
Pass
~~CTTY OF BLAIR
LOCATION OF
NAME OF
BUILDING INSPECTION REPORT
^ WASHINGTON COUNTY ^ OTHEF
f~ ~
~~
fI i &` = ~-
DATE INSPECTION REQUESTED• `-~ a ~ ~ ~~ TIME INSPECTION REQUESTED• ~~ PERMTI' NO•
~.
TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHE
BUILDING: ^ FOOTING ^ DECK FOOTING ,FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASS D FAILED
COMMENTS: -
UTILITIES: ^
^
COMMENTS: SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE
PARTIAL PASSED
^ FAILED
ELECTRICAL: ^
^
COMMENTS: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT
PARTIAL PASSED
^ FAILED
^ _
MECHANICAL: ^
COMMENTS: ROUGH-IN ^ A/C ,, _ FURNACE " ^ 'RADIANT"HEAT ^ FINAL ^ PARTIAL PASS FAILED.
PLUMBING: ^
^
COMMENTS: GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL
PRESSURE TEST PASSED.- FAILED
^
^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS•
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TO CONNECT SERVICE:
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it
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FAXED OPPD~BURT REA
MECHANICAL PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: ~" / ~ Q~
CATION
nn 1353
Permit Fee: $
a~ . G ~
JOB ADDRESS / /
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,
1 OWNER ~ ` ILADDRES~ ~
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2. CONTRALTO
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3• Class of Work: OMMERCIAL O RESIDENTIAL O NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT
4• Describe Work: ~~~ ~ QL~i~
Central A/C Tons MECHANICAL PERMIT FEES
Furnace g~ 00~ BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) .................................................... $25.00
# of Units A/C
Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) .................................................... $10.00
Forced Air Systems/Air Conditioner `~ ' ~
~~
Completion Date: Unit Replacement Per Unit Commercial/Residential ................... $10.00
Refrigeration Units/Coolers/Lines/Compressor -
Comments: Per Unit Commercial (New or Replacement) ...... ..................... $10.00
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
a
lication and know th
t
b
pp
e same
o
e true and correct. All
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not.
Modular Home ......................................... $15.00
The grantin
of a
ermit does not
r
t
i
th
i
g
p
p
esume
ve au
o g
or
ty
to violate or cancel the provisions of any other state orlocal ~~, ~ 0
law regulating construction or the performance of Permit Issuance Fee ............................... $15.00
cons
~~~ 6 G
TOTAL
IGNATURE OF CONT TOR OR THORIZED AGENT
~~~, ~ ~
ATE Current License on File ~(es O No O NA
11111 II-1.1 nn~nr ~~ ~i ~ r ~ r
vvn~ly rrsvrtnl_T vHUUHI to ~IIV I r11J 5t'HVt) I h15 15 YVUti F'tHMI I
Comment: ,( / I n , ~ Approved By:
POUNDS PRTG: Blair, NE Rev. 4/98