BPP1774
Permit #: P1774 Issued:
Completed:
Location: 1904 Colfax St
Owner: Doug Barger
Address: 1904 Colfax St
Blair, NE 68008
Phone:
Section:
Subdivision:
Water service repair.
Township:
Contractors
Henton Trenching, Inc.
Remarks
Inspections Date
1/3/2008
1/3/2008
By
OEM
OEM
Blair Building Permit Detail
1/3/2008
1/3/2008
Range:
Lot:
Type: Plumbing Miscellaneous
Valuation:
General Contractor
Water SeNice
Final Inspection of Project
Permit Fee: 10
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
~iYmBLAIR
LOCATION OF INSPECTION:
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NAME OF OWNER'ic '1iJ 1/
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BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHE~
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CONTRACTOR'
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DATE INSPECTION REQUESTED'
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TIME INSPECTION REQUESTED'
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. PERMIT
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TYPE OF INSPECTION
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL
o CONFERENCE
o PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE.~':G:l~WATERSERVICE
o PARTIAL'"
FAILED
o
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
FAILED
o
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
o 0
NOTES/REMARKS'
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
"'?
-0
f3
Job Address
Mail Address
0ar~
Comments:
.,DO
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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.
'-11/0 (T
Date
P 1774
Permit Fee: $ <..30. o()
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Phone
Phone
o Addition
o Replacement
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,OO x
Drinking Fountain.......................$3.00 x
Backflow/Grease Trap........... .$10,00
Water Service,...,....."."."., ..$10.00
Sewer.. . .. . . , . .. . . .. , .. . , . . , . . , . , .. .. $1 0,00
Groundwork.....,..,..,.., ,.. ,.. ...$10,00
Septic Tank & Laterals,...,. ..,.. $10.00
Lawn Sprinkler System... ... ... ...$10.00
Sprinkler System (Commercial). $30.00
Gas/Water Piping System
(Commercial),.. .,. ,.,. ,.. ,.. ,. "..,$30,00
lv. DO
Permit Issuance Fee".,.,..,.",., ,$20.00
Current License on File ~es
Comment:
Total
o No 0 NjA
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ,:;) /D f'.' .,
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