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Blair Building Permit Detail
Type: Mechanical Miscellaneous
Valuation:
Permit #: M1679 Issued: 9/26/2008
Completed: 10/3/2008
Location: 2361 Washington St
Owner: Walt Behrens
Address: 2361 Washington St
Blair, NE 68008
Phone: 426-8025
Township:
Range:
Lot:
Section:
Subdivision:
Furnace and AC replacement.
Contractors
Washington County Heating & AlC Inc. General Contractor
Remarks
Inspections Date
10/3/2008
1 0/3/2008
By
OEM
OEM
Mechanical Final
Final Inspection of Project
Permit Fee: 20
Issue Fee: 20
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
~LAIR
LOCATION OF
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
DATE INSPECTION REQUESTED' , v
L L' TIME INSPECTION REQUESTED'
NAME OF
TYPE OF INSPECTION
BUILDING: D FOOTING D DECK FOOTING D FRAMING D
D CONFERENCE
D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
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
PASSED FAILED
D D
D RADIANT HEAT
D PARTIAL
FAILED
D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
D
FAILED
D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPEC
DATE OF INSPECTION MADE:
FAXED OPPD\BURT REA
TO CONNECT SERVICE:
~
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: Cf -' z& " 0&
Job Address
Central AlC
Tons
Furnace
BTU/H
AIC
# of Units
Furnace
Completion Date:
Comments: ~~ \ ./ oCO
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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,
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Date
M 1679
LIt}, 00
,'2 11:3 pe6'
Phone
, ;;l(j; - 80::zs
Phone
o Alteration 0 Repair
placement
MECHANICAL PERMIT FEES
Forced Air/Heat Pump Systems - Per Unit
Commercial/Residential (New).., ....... ,.....,. ...... .,., ,.."...,., ..$25.00
Air-Conditioner Unit - Per Unit 1'tJ, 00
Commercial/Residential (New)..,..,......,.,.,...,.,......"...".., ...$10.00
Forced Air Systems/Air Conditioner / () , tJ 0
Unit Replacement Per Unit Commercial/Residential....".,. ... ... ..$10.00
Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement)........................ ..$10.00
Appliance Vent/Fans... ...... ... ........ ...$10.00
Boiler.,.,....,..,.,....,......,.,.."..". ....$15.00
Duct System, .. . , . . , , , .. .. . , .. .. . . .. .. , .. . .. . $1 0,00
Gas/Air Outlets.......................
x $2.00
Radiant Heat Systems/GaslWater
Piping System...."..,..,....... ,......... ..$25.00
Modular Home..."...,...,....,."..,..... .$50,00
Permit Issuance Fee.., ...... ... .., ... ... .., $20.00
Total
.t?CJ
Current License on File ~es 0 No
Comment:
o NjA
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: $, h/~
BUILDING INSPECTION REPORT
~TY OF BLAIR D WASHINGTON COUNTY D OTHER
LOCATION OF INSPECTION' ~~_,5L~J / t~-,)d<1/{j~7a.~T7 <.. Q'
/ I d ( ~/i i )J"
I / ! " V '- 1/' '.' I ,-q' / ,,;: C.ll
NAME OF OWNER' I,A/ {U T ,J.....'\.P!?A /1:'-'71/.:1--..) CONTRACTOR' !/{,/C<<J/7dl1 C;',-h:r-;"7 / !.)Uf;;r .,L.t4'.J / / T (-;( ,
DATE INSPECTION ~QUESTED' / (J ~q - () 8 TIME INSPECTION REQUEST~D' d,' 30~ . IV, PERMIT NO' ;l{ ~~: 7~?' l'
I t \.p' ~
TYPE OF INSPECTION REQUESTED: D CONFERENCE
~-=~~
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL~INAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PART~
PASSED FAILED
Q D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
FAILED
D D
COMMENTS:
MECHANICAL: D
D RADIANTHEAT
D PARTIAL
FAILED
[J
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
FAILED
[j
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS' .
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