BPP1809
Permit #: P1809 Issued:
Completed:
Location: 452 N 21st 8t
Owner: Jeff Combs
Address: 452 N 21st 8t
Blair, NE 68008
Phone:
Section:
Subdivision:
Replace water service
Township:
Contractors
Henton Trenching, Inc.
Remarks
Inspections Date
3/28/2008
3/28/2008
By
DEM
DEM
Blair Building Permit Detail
3/28/2008
3/28/2008
Range:
Lot:
Type: Plumbing Miscellaneous
Valuation:
General Contractor
Final Inspection of Project
Water Service
Permit Fee: 10
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
BUILDING INSPECTION RE~()RT
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D CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
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LOCATION OF INSPECTION'
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NAME OF OWNER' t o'(j lh.A:.J:?
CONTRACTOR'
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PERMIT NO'
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DATE INSPECTION REQUESTED'
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TIME INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE';gJ WATER SERVICE
if -.",,:,
o PARTIAL #" '
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
,DFO
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D NC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPECTO '
DATE OF INSPECTION MADE:
TIME' I CC 41
'7
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
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PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
3 -;). 1';0 t
Owner,,\, f C- C ~ail Address
1. \Je) ~~iJ,J
~~ntractor (? /1\1 a ~ 1 (M;iI:~ ~s."
3. Class of Work: 0 COMMERCIAL 0 SID TIAL
Describe Work: J J
4. t; ce t)) C; 1 (i> r
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,
Zip
Zip
o New 0 Addition
o Alteration
o Repair
P 1809
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Phone
Phone
Replacement
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: &, 1!t f.1Adt'fAJ
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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
(Commercial),.,."..,.,........ ....$30.00
Permit Issuance Fee,..........,... ,$20,00
Current License on File
Comment:
Total
Yes 0 No 0 N/A
BUILDING INSPECTION REPORT
D CITY OF BLAIR
D WASHINGTON COUNTY
DATE INSPECTION REQUESTED'
D OTHER
Y )--) rJ. ~ i ~ t(~
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/730
TIME INSPECTION REQUESTED'
CONTRACTOR'
PERMIT NO' 'P J fU I
TYPE OF INSPECTION REQUESTED: D CONFERENCE
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BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
'WTI
COMMENTS:
UTILITIES:
PASSED FAILED
D D
"
COMMENTS:
D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE
D PARTIAL rzf F\ 144, I
WATER SERVICE
"
P~D FAILED
I D
.
PASSED FAILED
D D
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
COMMENTS:
MECHANICAL: ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: GROUNDWORK ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
mSP~:rJa1~ DATEOFmS~CITONMADE.3p~8
FAXED OPPD\BURTREA TO CONNECT SERVICE: ON BY
TIME' I CC t/4
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