BPP1853
Blair Building Permit Detail
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Permit #: P1853 Issued: 8/25/2008
Completed: 8/25/2008
Location: 1139 Colfax St
Owner: Jeff Pleskac
Address: 1139 Colfax St
Type: Plumbing Miscellaneous
Valuation:
Blair, NE 68008
Permit Fee: 10
Issue Fee: 20
Deposit Amt.:
Receipt #:
Phone:
Section:
Subdivision:
New Water Service
Township:
Range:
Lot:
Block:
Contractors
Henton Trenching, Inc.
General Contractor
Permit #
Issued
Remarks
Inspections Date
8/25/2008
By
DEM
Water Service
Pass
BUILDING INSPECTION REPORT
OF BLAIR
D WASHINGTON COUNTY
D OTHER
DATE INSPECTION REQUESTED'
PERMIT NO'
LOCATION OF INSPECTION'
NAME OF OWNER'
. TIME INSPECTION REQUESTED'
TYPE OF INSPECTION
D CONFERENCE
D STATUS CHECK
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE
D PARTIAL
WATER SERVICE
FAILED
D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANT HEAT 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
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSP
DATE OF INSPECTION MADE:
TIME' ;;J7:J (
FAXED OPPD\BURTREA
TO CONNECT SERVICE:
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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
Application Date: 8-
-{)fj
P 1853
Permit Fee: $( 10. C? c/
Owner _
1. (
Contractor
2,
3, Class of Work:
Describe Work:
4,
Job Address
Comments:
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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,
Date
(JY-. 8100 (11ft 15 {
t/};~ [S"~ 31~
Zip
H,/Pho~el 'J """"
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Phone
o Alteration 0 Repair 0 Replacement
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 Tame & Laterals........... $10.00
Lawn Sprinkler System...... .. .... $1 0.00
Sprinkler System (Commercial), $30,00
Gas/Water Piping System
~....,.....,.., .....$30.00
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Permit Issuance Fee.,.,.,...,.".. ,$20,00
Current License on File
Comment:
Total
~es 0 No 0 NjA
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By:. r r.:?, ',~ /. .
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BUILDING INSPECTION REPORT
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~:....cITY OF BLAIR
o WASHINGTON COUNTY
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LOCATION OF INSPECTION'
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NAME OF OWNER' (~--/,..I'.:1~/) / <..A;.'./,/J ,c a (,
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DATE INSPECTION REQUESTED' (..- t? ~j - - c/
II 20'
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o OTHER
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TIME INSPECTION REQUESTED'
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PERMIT NO' I 'ry-,j.)
CONTRACTOR'
,..TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES:
PASSED FAILED
o 0
o SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE~~':WATERSERVICE
o PARTIAL
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,/ -' \1 c__f." ?<../
FAILED
o
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
~~=--.~~~~~""""""''''''''''''..",.".".,..-'''''''''''''''''''''''''' ."'.""'..=........~~n..~~~~>;.,~~~~~'"""""""~~,,~"=ti:."'-==w"'"s..'l~~""""7'~
MECHANICAL:D ROUGH-IN 0 AlC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
COMMENTS:,
[J ClctirPA.NbYGRANTED CD CONDITIONAL oCCUPANCY GRANTED
, ,
NbTE.siREMA~s'
PASSED FAILED
o 0
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