BPE2903
Permit #: E2903 Issued:
Completed:
Location: 393 River Rd
Owner: VFW
Address: 393 River Rd
Blair, NE 68008
Phone:
Section:
Subdivision:
Re-route power for AC
Township:
Contractors
Judt Electric
Remarks
Inspections Date
8/1/2008
8/1/2008
By
DEM
DEM
Blair Building Permit Detail
6/9/2008
8/1/2008
Range:
Lot:
Type: Electrical Miscellaneous
Valuation:
General Contractor
Electrical Final
Final Inspection of Project
Permit Fee: 5
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
NYE E 1 0
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
1/-- r-c)
Job Address
Owne
1.
Contractor
2.r;
3. Class of Work:
Describe Work:
4.
5.Current License on File
Mail 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.....................$105.00
901-1000 Amp....................... .$117.00
IF OVER 1000 Amp
1 st 1000 Amp Fee............... ...$117.00
Each additional 100 Amps.........$13.00
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.
Signature of Contractor or Authorized Agent
Date
E 2903
Permit Fee: $ ;25.
R.t'v~M l:::.d
t? 6avU
Zip
REMODELING/ADDITIONS 0 UPGRADE SERVICE
A'
Completion Date "'0 -
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$10.00
Temporary Service.. .. .. .. .. . . .. .. .... $10.00
Fire Alarm System................. ....$10.00
Signs................................. .....$15.00
Miscellaneous Apparatus......... .....$11.00
AC/DC Circuit............ ... ....... .....$5.00
Commercial/Multi 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 x $.75
Smoke Detectors x $3.00
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Motor(s) x $3.00
Power 11 pparatlMl (2JQ \'6tts)
# ~FpwatllS 7btt/'~4#-1 /1c!,x $5.00
!T~o
Permit Issuance Fee.................. ..$20.00 ,-:9tJ, ot?
Total ~-). c:> 0
Comment:
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: (~3 ~ J2;1..g~
-~""""""",~"""""",-,~~-"-",-",,,-~~~,_,,~__,~,,~"~"~"~~~'~~'~~_~"""""~~'~"""'~~~F-"-~..~.-._,,',...-,,-:,.~~':!'7
BUILDING INSPECTION REPORT
.../
::f=CITY OF BLAIR
LOCATION OF INSPECTION-
NAME OF OWNER' \/Fl1)
(? I O'/J
-}...... _r t......J
DATE INSPECTION REQUESTED' G..1 t c/
o WASHINGTON COUNTY
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CONTRACTOR'
TIME INSPECTION REQUESTED' A I
r~/ -:}(/ ,) ?
PERMIT NO' t.~ ,,:;" 7 (/ J
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
= .
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL '~INAL 0 PARTIAL
o STATUS CHECK
D FAILED
o
COMMENTS:
~"lr-<.~~~~~""""''''''=~'~''~~~~lU!i'S!..~~~.;''''~="",,,,,,,,~~''''"'"
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
P ASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN~INAL 0 J~~ANENT SERVI;~ 0 TEMP~...RARY SERVICE 0 PRECONNECT 2!-AS. FAILED
o PARTIAL .j / 'Y';/'7 0
COMMENTS: ;<:"-/ot{)..i!/1 '1":7'; /tt L..'
~~~~~~"""'~~:~"~~~--~",,",,"~~":L~~..z:o=-:..r~
MECHANICAL:O ROUGH-IN 0 NC 0 FURNACE 0 {~R:illIANTHEAT 0 FINAL 0 PARTIAL PASSED FAILED
o 0
COMMENTS:
~",,=,~~;:r-~:;(;..~~~'1:..~~~~~~~~~~~~~.~....''l..~~~
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED' FAILED
D 0
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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