BPM1652
Blair Building Permit Detail
Type: Mechanical Miscellaneous
Valuation:
Permit #: M1652 Issued: 7/11/2008
Completed: 7/15/2008
Location: 745 N 15th St
Owner: Derek Johnson
Address: 745 N 15th St
Blair, NE 68008
Phone:
Section:
Subdivision:
Replace Airconditioner
Township:
Range:
Lot:
Contractors
Washington County Heating & AlC Inc. General Contractor
Remarks
Inspections Date
7/15/2008
7/15/2008
By
DEM
DEM
Mechanical Final
Final Inspection of Project
Permit Fee: 10
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
2 3
D~R
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
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NAME OF OWNER' '"fl,) 1",'1"'<',-;,1 '., ,
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v
DATE INSPECTION REQUESTED','
TIME INSPECTION REQUESTED' j
t
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 D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
D D
MECHANICAL:D ROUGH-I~:r:?J NC D FURNACE D RADIANT HEAT "~~:.FINAL D PARTIAL
_)J ''-"-.,
:zr F~ED
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
TIME' d ;- I {p
INS
DATE OF INSPECTION MADE:
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
~
Application Date:
7-II-of
/ y~ N.
'\' \ Mail Address
....JO~\I\S n
II Mail Address
n~<!,t' ~
o COMMERC RESIDENTIAL
Job Address
Owneh
1. Uef' ~ c. k.
Contractor C
2.W . 1:>-
3. Class of Work:
Describe Work:
4,
Central AlC
;l
Tons
Furnace
BTU/H
AlC
# of Units
Furnace
Completion Date:
7-lr-or
comments:, ,," ..A~
-t~;'_16-D8
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
p~~
Signature of Contractor or Authorized Agent
~3~P~
, te
M 1652
o\;)
Permit Fee: $ 3 () .-
Zip
o New
o Addition
Replacement
o Alteration
o Repair
MECHANICAL PERMIT FEES
Forced Air/Heat Pump Systems - Per Unit
CommerciaVResidential (New)..,..,.,..,.,....................... .....$25.00
Air-Conditioner Unit - Per Unit /0- 0)
CommerciaVResidential (New)................,...................... ...$10.00
Forced Air Systems/Air Conditioner
Unit Replacement Per Unit Commercial/Residential... ... ... ...... ..$1 0.00
Refrigeration Units/Coolers/Lines/Compressor -
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
Radiant Heat Systems/Gas/Water
Piping System.................,........... ..$25.00
o ular Home...... ......... '" ...... ... .., $50.00
Permit Issuance Fee... ... ... ... ... ......... $20.00
Total
cJ 0" dD
o . <.l..J
Current License on File
o No
o NjA
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ::;> R' ,/
cD- , Jr~
BUILDING INSPECTION REPORT
D CITY OF BLAIR
D W ASHlNGTON COUNTY
D OTHER
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CONTRACTO' Ll)! '- ()O.
TIME INSPECTION REQUESTED' l'1- J r>r
I'
LOCATION OF INSPECTION'
NAME OF OWNER' C~d~./v~d,{)\,""~
II
DATE INSPECTION REQUESTED' I-I r~
f\O....,jL,
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U
PERMIT NO' }1..., I bi~;'l.
TYPE OF INSPECTION CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
D D
~t'"'r'R'~
'" ~"'~"""""""~m~~__~~~~~~
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL: D
AlC D FURNACE D RADIANT HEAT \ca/FrNAL D PARTIAL
~/"~';'<"""''''''
,
~ F~ED
COMMENTS:
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PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
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D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
TIME' d ;) fp
IN
DATE OF INSPECTION MADE:
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