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BP12880 \;1 \7 ' b" ~t:i;.'"IW@fI ;\ Blair Building Permit Detail Permit #: 12880 Issued: Completed: Location: 1738 Washington St Owner: Eriksen Investments Address: PO Box 610 11/01/2007 10/26/2009 Type: Industrial/Commercial - Remodeling Valuation: 190000 Blair, NE 68008 Phone: 402 426 3119 James Permit Fee: Issue Fee: Deposit Amt.: Receipt #: 950 20 500 21040 Section: Subdivision: Township: Range: Lot: 23 & 24 Block: 38 4750 Sq ft remodel for Cargill's new office spaces. No walls on the inside for offices-cubicles only. ADA men & women's bathrooms. Contractors Eriksen Construction Co., Inc. CNJ Plumbing Inc Oick's Electric Getzschman Heating, LLC Henton Trenching, Inc. Henton Trenching, Inc. Remarks General Contractor Permit # Issued Plumbing Subcontractor P1767 12/05/2007 Electrical Subcontractor E2852 03/04/2008 Heating Subcontractor M1627 03/04/2008 Plumbing Subcontractor T1269 01/07/2008 Plumbing Subcontractor P1776 01/07/2008 11/17/2008 BMP Called and spoke to James. He said they want to leave this job in limbo until someone is interested in the building. I told them they had a year left on it and he told me he would get a hold of me if they were to start up again. 10/27/2009 HOW 1. status ck-provide address on bldg. 2. submit application for permit to occupy. do not occupy without city of blair approval. 10/26/2009 HOW OK to final as is until application to occupy. Inspections Date By 12/07/2007 OEM Plumbing Groundwork Pass 01/08/2008 OEM Water Service Pass 01/09/2008 OEM Plumbing Pressure Test Pass 01/09/2008 OEM Fire Alarm Test Pass 01/25/2008 OEM Conference Pass 03/04/2008 OEM Conference Pass 03/06/2008 OEM Framing Pass 03/06/2008 OEM Plumbing Rough-ins Pass Partial 03/06/2008 OEM Mechanical Rough-ins Pass Partial 03/06/2008 OEM Electrical Rough-ins Pass Partial 05/05/2008 OEM Status check Pass 1 0/26/2009 HOW Final Inspection of Project Pass 10/27/2009 HOW Status check Pass ~. ~ I ~ ~ ~ ~ ~ '"' \ ~ ~i ~, [\~ ~\ W ~ ~ 1 ~ ~ ~g~ggg> og.u~o-g a.cnC'Dq:E-c m..........g,c.. !! UlQQ~-CD Q 5=:"'g'~~ 0lg:~n53 ~"n ""'I: ~ 0 _. g.~~CD~C;; oo'<m~m 0-0) C-aa. m 3~~o-CD-c 'UroCD'<_CD ro CD_=r..Q mgo~iii"~. ~~-g-g g~ - - -.: -c '= .... :Tm0'3~O 5"![3;:1:~; _-C Q) m :;: III :r"'C "'C n O~(t)~CD~ ';;:)o."'C <>3 <> :.:;s:aa~~ gj~-gglll'E. U:m~tn:gc o-o.:J=3 ;,:~~~El~ Q) --C:J -"O'Q. 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Zip 'at4 1#8tJo8 REMODELING/ADDITIONS fo~ /5 S uJ.d-dv c2.4/ c! dl /JaM DYes 0 No 0 N/A Completion Date ELECTRICAL PERMIT FEES @< Application Date: 3-'1- () 8 Job Address Service Fee = (Amp Fee + 2.00 per branch circuit) 1-100 Amp Fee......... ............ ..$13.00 101-200 Amp Fee............ ...... .. ...$18.00 201-300 Amp Fee......... ...... ........$30.00 301-400 Amp Fee...... ... ... ... ........$42.00 401-500 Amp Fee...... .............. ...$55.00 501-600 Amp Fee...... ............... ..$67.00 601-700 Amp Fee...... ............ .....$80.00 701-800 Amp Fee... ... ............ .....$92.00 801-900 Amp Fee...... ............ ... $1 05.00 901-1000 Amp..................... ...$117.00 IF OVER 1000 Amp 1 sl 1000 Amp Fee............. .....$117.00 Each additional 100 Amps..... ....$13.00 Notice I hereby certity 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 pelformance of construction. Signature of Contractor or Authorized Agent Date lo''n." 'II .A A.'~ "l'o '~f ..., -. BeO \ I ) E 2852 50 Permit Fee: $ 75 . Phone q- ;l (j; - 3 //1 Phone Upgrade Existing Service............ .$1 0.00 Temporary Service.................... $10.00 Fire Alarm System................. ....$10.00 Signs................................. .....$15.00 Miscellaneous Apparatus......... .....$11.00 AC/DC Circuit......... ............... ...$5.00 CommerciallMulti Family and All Upgrades: # of Circuits x $2.00 Amp Fee Amp Fee + Circuit Total New Residential: (Finished Area) Single/Two Family Dwellings sq. ft. x .045 Modular/Manufactured Homes... ...$50.00 Receptacle/Switch Outlets Fixtures 5'0 x $.75 Smoke Detectors x $3.00 Residential/Commercial Appliance # Fixed Outlets & x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) # Apparatus x $5.00 31;50 /8.00 PermitIssuance Fee................. ...$20.00 oft). o() ---7;:::" 50 Total I.:,.)' Comment: WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: $. PJ/~ 04/21/2003 19:13 4025332520 DICKS ELECTRIC PAGE 01/01 Apr, 16. 2006 12:30PM CiTY OF BLAIR (402.426.41911 ' ("No, 6259~ p, 1 riD ELECTRICAL PERMIT APPLICATI;;~tl)' ~,"It 1" .,.. ~ Judsdiction of City of Blair. Nebl"aska .....r.~ 218 South 161h Street , t"1011t 0 BIail', Nebraska 68008 \ ruD Fax (402) 426~4195 E 2852 (402) 426-4191 Appllc3tion Dat.,;; 3... 1.. () 8 Job A<fdrMS Service Feo = (Amp Fee + 2.00 pel' branch circttit) L-I00 Amp Fee........... ,..".......$13.00 WI-200 Amp Fee,,,.....,,..... ........$18.00 201-300 Amp Fee................... ....$30.00 3010400 Amp Feo..,...... ......... , ....$42.00 401-500 Amp :Fee...... ...."'... 0. 0....$55.00 501-600 Amp Fee.. m. ............... ..$67,00 601.701) Amp Fee.............. ....."'.$80,00 701-800 Amp F~t'l.................... ....$92.00 801-900 Amp.Fee......... ..... ..... ..$105.00 901-1000 Amp..,.... ............. ....$\ t 7,00 IF OVER 1000 Amp 1 ~t 1000 Amp Fee.............. ...:$117.00 Each additlonallOO A1l'Ips.........SI3,OQ Nottce I hereby certify tMt t have rond {lod examjn~d lhis epl'liMtiol1 lint;! know the same to be (rUe and COrrect. All pl'Ovi.~ions oflawa lln13 ol'clinnnces governing thIs type of W(lrk will bo cOlnplied wHh whcth~r specffiect herein or . not. The ~tilJlti\1g of a pennlt doc~ not prcsmne to give authority to violate Or Dli1'lCellhe provisions ohny other slate or !ooa.ll1\W regulating <lOllstrucff<m or the pfltfonmlllce of'c.ollstnte!ioll. Lj.- :2./- ()~ D~tI: PelmitFee:$ 75,60 PhOne 'I" ~ II - f3/1t:t Fhonc ELECT.lUCAL PERl\fiT FEES Upgrade Existing Se1'vice... ... ,..... .$10.00 Temp01'31'Y Sel'vie!;}.,.,........... ..... $10.00 Fh'c Alarm System.................. ...$1 0.00 Signs.." n. ...................,.,. ........$15.00 Miscellaneous App~tatus,.,.,... ......$11.00 AClDe Circuit..................... .. ....$$.00 Camm&)i'~'allMlIlU Fftmily ftnd All U1'2:l'('\(JIi)S: '1# of Circuits x $2,00 Amp Fee Amp Fee"" Circuit T!)tal New Residential: (Finished Area) SinglefT'wo Family Dwellings sq. ft. x .045 Modulal'lManufactUteQ: Homes... ...$50.00 Receptaclo/Swltcb Outlets FixUll'es ~S'O x $.75 81, _ot> Smoke Petec1ol's x $3,00 Residential/Commercial Appliance it Fixed Outlets f..p x $3.00 ...ill. .:> 0 Motol'(s) x $3.00 Power Apparatus (220 Volts) # Appamtns ,,$5.00 Permit T$$uance.Feo.............,......$20.00 dtJ.o,p Totl\! 715. 5 [) Comment WHEN PROPERty VALIDA TED IN THIS SPACE THIS IS YOUR PERMIT Approved By: .1') . L - rJr~ ~ MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska ,1 tAB 0 218 South 16th Street j ,rD Blair, Nebraska 68008 Fax (402) 426-4195 M 1627 (402) 426-4191 Application Date: 3 - 0- 0 fj Job Address Central A/e Tons Furnace Of) 0 BTU/H AlC # of Units Furnace Completion Date: Comments: Notice I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws 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. Permit Fee: $ //tJ.60 cP I. 1)/ i) Zip t=\" 00 Forced Air/Heat Pump Systems - Per Unit 1';< c.....J II. Commercial/Residential (New)....................................... ..$25.00 ~ 00 Air-Conditioner Unit - Per Unit X;l ex 0 . Commercial/Residential (New)...................................... ....$10.00 Forced Air Systems/Air Conditioner Unit Replacement Per Unit CommerciallResidential...... ... ... ... ..$10.00 Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement).. . .. . . .. .. .. .. . .. .. . .. . .. $1 0.00 Appliance Vent/Fans... ...... ... ... ... .. ...$10.00 Iii. 00 Boiler....................................... ..$15.00 Duct System... ...... ... ...... ... ... ... ... ...$10.00 /0.00 Gas/Air Outlets....................... x $2.00 Radiant Heat Systems/Gas/Water Piping System............................. ..$25.00 "/~~I ,,",, Modular Home... ... ...... ... ... ... .........$50.00 CV.J 3-3/,,0'1 Date Permit Issuance Fee........................ $20.00 Total Current License on File ~s 0 No 0 Nj A /tJ,LJO Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: '- :;;. 0 Jd?~ 55 PLUMBING PERMIT APPLICATION Jurisdiction of City ofBlair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: Job Address Comments: 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 or any other state or local law regulating construction or the performance of construction. ,~,/~1;r, ractor or Authorized Agent ~/; 10 Y Date T 1269 Permit Fee: $ 00 Ys;l).~ lJG!; ~-i y,. . '-\u~ S-r Zip Phone Zip Phone New 0 Addition 0 Alteration 0 Repair 0 Replacement PLUMBING PERMIT FEES Water Tap Fee - %" $150.00 Water Tap Fee - 1" $200.00 Water Tap Fee - 1~" $250.00 Water Tap Fee - 2" $300.00 lJcder'TCtp .- i if t L{ Sb 00 .---. Current Licens\l on File Comment: Total Yes 0 No 0 NjA WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: ~~~ \ -VC60cP PLUMBING PERMIT APPLICATION IJ8BO P 1776 Jurisdiction of City ofBlair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: 1-1-0& Job Address ( ~V V\LL Comments: 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. /] /) ,f) I / -IJ- \{1/ Iv~ K l:J~~_A4''''- "'. ..... :- [Signature of Contractor or Authorized Agent ~/< /0 t' Date < <.V Permit Fee: $ CJl) - Zip L-Jd& -~Ttq Phone Zip o Alteration 0 Repair 0 Replacement re... S \'1 nldtrL Ct.JU- PLUMBING PERMIT FEES Modular Home.................... ..$50.00 Type of Fixture No. Kitchen............................. .$8.00 x Bath................................. .$8.00 x Rough-In Bath.. .. .. . .. . .. .... .. . .. . $4.00 x Additional Sinks.................. ..$3.00 x Laundry/Drain............ ... ..... ..$5.00 x Water Heater... ... ......... ... ......$3.00 x Outside Water Faucet..................$3.00 x Drinking Fountain.......................$3.00 x Backflow/Grease Trap...... ..... .$10.00 Water Service... ...... ... ...... .. ..$10.00 Sewer. .. .. . .. . .. . . . . . .. . . . . .. . .. . . . ..$10.00 Groundwork..................... ...$10.00 Septic Tank & Laterals........... $10.00 Lawn Sprinkler System........ ....$10.00 Sprinkler System (Commercial). $30.00 Gas/Water Piping System (Commercia!).................... ...$30.00 .10.00 Permit Issuance Fee............... .$20.00 "10 .0.::'> ~O.W Current License on File .B'l'es 0 No Comment: Total o NjA WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved By: \z. 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" ., . - , " . . . . . . . - jZS' CITY OF BLAIR D WASHINGTON COUNj D 0THEJ1 LOCATION OF INSPECTION' ,/ ~75Cj b__f9..<;////v207CJA:/ NAME OF OWNER' E-li!/)('S-P;::/t. j CONTRACTOR' DATE INSPECTION REQUESTED' / /d75' ~r9TIME INSPECTION REQUESTED' / / ~ TYPE OF INSPECTION REQUESTED: ~_1:.l. ..!.A, "'.. _ -- -~~~ ___A-,!i .l:..:....!....L:t...~....'$.'$l; r; BUILDING: 0 FOOTING 0 DECK FOOTING 0 BUILDING INSPECTION ItEPORT , -'- ( ", I' "L.-J;:l Vt~ ,. /1 / /-~- l / /] C' LJ ,r-) PERMIT NO' /:::::7;/:11''''')(....-- C:~{ CONFERENCE 0 STATUS CHECK ..._-~ . i _ il4 "l~J"""""",,,,,,,....,,__,,,,,",,",,,~~,,,,,,-_ ili M~t:;t FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED o 0 COMMENTS: o SEWER TAP ,0 SEWER 0 SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE o PARTIAL .-~~~'~- PASSED FAILED o 0 COMMENTS: ._~.~ ~~~ ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o 0 COMMENTS: " MECHANICAL:O ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL ,j PASSED FAILED. ' o D" PLUMBING:' 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL o PRESSURE TEST COMMENTS:: o OCCtiPA~CY GRANTED '0 CONDITI6NAL'OtCUPANdyaR~ED . ' ", ", '"~~'/l ) NOTES/REMARKS' hLL{)OJ i.LP ,{Jj:-IE:iE:":r!..f;:c,:-::.-:;t:kLI2.kr',,,l! ,:~418/~ " . ~L './i(~' /I:/)))~. ~<:IfC)j;;IN/ ,)61(:J9:.1 . . It,> PAS~ED FAILED 0' 0 ..\ , , ~, . '" ~- ........ d . .. -- ~ ..- - - . . ~, -- . . - - "'- . -. ,- - - ,- ~ .' 1 , _ r l! <1 ' - - .... '- . ,-- .. ';~ ..;l , '1 1 " . ,- - BtJlLDING INSPECTION REPORT ,.,/'/ ' ~ CITY OF BLAIR D WASHINGTON COUNTY D OTHER J A/.. n'l. LOCATION OF INSPECTION' / '73!3 I-IA:tJ-1/?,:;/J ?fJ,h7?7 ( J T I c !/.~' ,,'-:'r-t -r J / a,jJ NAME OF OWNER' (/U L.!l/41 J~I tWr/J'J1M TS" CONTRACTOR' L' (//'TI..'/ DATE INSPECTION REQUESTED' ( -J ~ if / 03 TIME INSPECTION REQUESTED' )~ H . PERMIT NO' /;; 13;3 () ..!!PE OF INSPE~!ON RE~~!ED: ........_. c;~'EJ~O~NFERENCE D STATUS CHECK BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL PASSED FAILED D D COMMENTS: V~- --'ff";;_~~~ UTILITIES: D SEWER TAP D SEWER 0 SEPTIC D WATER TAP D REMOTE D WATER SERVICE D PARTIAL PASSED FAILED D D COMMENTS: ELECTRICAL: D ROUGH IN D FINAL 0 PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT D PARTIAL PASSED FAILED D D COMMENTS: - r----w't ~~ """"'''' MECHANICAL:D ROUGH-IN D NC D FURNACE 0 RADIANTHEAT D FINAL D PARTIAL PASSED FAILED D D COMMENTS: PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL D PRESSURE TEST PASSED FAILED GY D COMMENTS: D OCCUPANCY GRANTED [j CQNDJTI()NAL()t~UFANCYGRANTED :s7niR6 ., /CJo9 ~ :J NOTESIREMARKS' ffifiZJ J-~/L/l)/~s /tZJ9c )L I> F I' 'VII"I"'~"'" . . I . I f I ~ )",J ....- " 'Cl=s?- 1, , I - . 11 I "" ' .L . --- I " . - . . '-~2;1':- ._.-o:<~-~ ,. - ,'.- ~~,.- -.-- ","'-~"'"' '- -"'~~~-'" - .,..::- ....... .... 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J 5({+ fr TIME INSPECTION REQUESTED- It) ,-~-I CONTRACTOR' PERMIT NO' "/} fit) TYPE OF INSPECTION REQUESTED: 0 CONFERENCE ~ BUlLD~G: D~;;;TIN~ ~D D~~FOOTING~~~/:HtW:~~ 0 ;INAL ~PAR~lAL CO:MMENTS: o STATUS CHECK . ~~~"i\'"";l:; Ppro F~ED ~~~~"""""""'--~~ ~~~ UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATERSERVICE o PARTIAL CO:MMENTS: ';LEC~RIC~~,"~. G~ IN 0 FIN~ 0 PERMANENT SERVICE 0 TEMPORARY SE;;~~ 0 PREC~7mECT ,#" EJ PARTIAL CO:MMENTS: PASSED FAILED o 0 Lt.. ~ __~ ~~ED '" MECHANICA~tEJ ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL /" CO:MMENTS: T~ED PLUMBING: O'?RO~~WO~-11-;~UGH"IN[];;;~""~~LED ~~- D _ PRESSURE TEST COJ\.1Jl4EN;:rS;':'" -c"" '" ~'l' o OCCuP~e~'~~~ED EJ CONDiTIONAL OCCUPANCY GRANTED ~ED "",.,~~~~ ~-~~~ NOTESIREM~S'...-' . . . l ,\ , Y!i\l.@'6,@.i' I , \ l~ ~ ~.\ ~~, I' , . ,; !~ .. I 1, \ ..,jijIIf .' . .I~W". -~' i' ~ .1 I -II . -\ IP , '. . ~" , . I " ,. . , , .....~ -' - " 'Io~-..-, ..... , , "': , -I' '1 ' ./ 1111 , " - ,- .. . " r .llIii l~ , / - , /' 1:.4 .~ ~ " ~u '; :- - - ~ IJ.,TE'Q - h. ~ ' v . - - go' ......_...".J- . ~ .,.. - ~ . --,. ="-- - ,.,,~ ~l.k . ~ ;;0' '1' r</~ 'H _~~.1II;1 , . . 'I I . J , . . ~ I": -4 .. , ~ I . , " \~ \ " ~~--~--...........----~--, ----,----~._-~---~-----~~.~--------.......--~--~---- / ~QTY OF BLAIR BUILDING INSPECTION REPORT o W ASIDNGTON COUNTY o OTHER LOCATION OF INSPECTION' /ZJJ1lH j 7J18 Wt2!JA-t41Cvf-zrn \. )?L. (/ NAME OF OWNER' r!1i hwtJ Z1w:.I_L:l4!('M-t! J'l CONTRACTOR' l? eztW DATE INSPECTION REQUESTED' .5 - 5 - 0/3 TIME INSPECTION REQUESTED' .4 7- PERMIT NO' / ;;? 86' {) TYPE OF INSPECTION REQUESTED: 0 CONFERENCE , BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL ~'}'-ATUS CHECK PASSED FAILED o 0 CO:MMENTS: UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL PASSED FAILED o 0 CO:MMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o 0 CO:MMENTS: MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL CO:MMENTS: PLUMBING: PASSED FAILED o 0 COMMENTS: o GROUNDWORK 0 ROUGH-IN o PRESSURE TEST WATER METER INSTALLED 0 PARTIAL PASSED FAILED o 0 NOTES/REMARKS' w)(. DATE OF INSPECTION MADE: <?Jh-h,8 TIME Z -q I ' FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY Yr/-ffAJ. b ~? CITY OF BLAIR BUILDING INSPECTION REPORT o WASHINGTON COUNTY LOCATION OF NAME OF DATE INSPECTION REQUESTED' / ,,,1._":; ."..,..".:,.7.,.....:.',:..,..) _/ / ! t';* i'~/ :..' ,," t::...,.""- j! TIME INSPECTION REQUESTED' .~/'::~')?-\~_~'::( t'::~:i}' ll/ PERMIT TYPE OF INSPECTION REQUESTED: 0 CONFERENCE BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL. '~'FiNAL 0 PARTIAL TATUSCHECK COMMENTS: UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE o PARTIAL PASSED FAILED o 0 COMMENTS: ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT o PARTIAL PASSED FAILED o 0 COMMENTS: PASSED FAILED o [l MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE D RADIANTHEAT 0 FINAL 0 PARTIAL PASSED FAILED o 0 COMMENTS: PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL o PRESSURE TEST PASSED FAILED o 0 COMMENTS: o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS' (!) t/J rttl.J1 ;jJ (' 1.. ).. vt ?~e. S S Or.) I . ,*, < iI (. (f .. I-J Vi t-A "")'. t.{- 1M i AJ SiZ,e-. IJ U fA tJCiCS, ) ~ r cY ~u ~ t,M,r (- A,v.J IJ l-t cat to V' F:-' vc- Pecevrt i --C T' () 0 CG- (/;7 V,. {iJ () I , , f T /1 tj + 0 ~"'i U'/ Y IN'd ({out' C {'fy 11 {=- ~ k;r;4 ~I f'tetf\.h~,' INSPECTOR' ~~fi- DATE OF INSPECTION MADE: / D-:.J-f:, - ('J 9 TIME' /O~ ~crt.('/WL FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY