BPP1944
Blair Building Permit Detail
Permit #: P1944 Issued: 10/15/2008
Completed: 10/15/2008
Location: 565 S 3rd Ave
Owner: Jim Sandvold
Address: 565 S 3rd Ave
Blair, NE 68008
Phone:
Section: 7
Subdivision:
Water line replacement
Contractors
Henton Trenching, Inc.
Remarks
Inspections Date
10/15/2008
10/15/2008
Type: Plumbing Miscellaneous
Valuation:
Township: 18
Range: 12
Lot: 229
General Contractor
By
DEM
DEM
Water Service
Final Inspection of Project
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Permit Fee: 10
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Pass
Pass
Issued
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BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION:
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NAME OF OWNER' (
CONTRACTOR'
DATE INSPECTION REQUESTED'
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ir.....,
TIME INSPECTION REQUESTED'
PERMIT
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL []. FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC
D PARTIAL
WATER.':tA'P D REMOTE
FAILED
D
SERVICE
Pp F~ED
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 RADIANTHEAT D FINAL D PARTIAL
P ASSED FAILED
D D
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'
DATE OF INSPECTION MADE:
TIMF' 3 r"cf(
FAXED OPPD\BURT REA
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
Owner
1.
Contractor
2.
3. Class of Work:
Describe Work:
4.
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 of laws 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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Signature of Contractor or Authorized Agent
Date
P 1944
'Or' tJ't!J
Permit Fee: $0:;:).
8900 ~atJ"
Phone
Phone
D Alteration D Repair ~placement
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PLUMBING PERMIT FEES
Modular Home.,. ,., ...... ,..... ...,$50.00
Type of Fixture No.
Kitchen.....,.....,..,............ ...$12,00 x
Bath.. ..,Residential/Single Stall $12.00 x_
..,.,.,.. ,.,.,. ,., ..Multi-Stall $25.00 x
Rough-In Bath..,..., ",.., ". ,.......$8,00 x_
Additional Sinks".,.,..,.,.,." ,., ,,$6,00 x
Slop Sink/Laundry Tray/Drain....,$6.00 x_
Water Heater...... .., ......... .. .....$10.00 x
Outside Water Faucet...................$6,OO x
Drinking Fountain........................$6.00 x_
Backflow/Grease Trap..,....,.... ,$15.00
Water Service..................... ..$15.00
Sewer.....,..,..,.................. ..,$15.00
Groundwork....,.,.,.,.,.,...... ....$15,00
Septic, Tank & L~t~ral.s,.". "..,.. $15,00
l,Jal-d0 J.kl'l~ ~'
J"ai"n Spdnklc;l Sy'sTem...........,$1O.00 _
Sprinkler System (Commercial)..$30,OO
Gas/Water Piping System
(Commercial),...,.....,., ,. ,..., ....$50.00
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Permit Issuance Fee................ .$25,00
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Current License on File .as1es D No
Comment:
Total
D NjA
WHEN PROPERLY VALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 2. fl.ff~
Rev. 2008-10
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BUILDING INSPECTION REPORT
~'ITY OF BLAIR
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o WASHINGTON COUNTY 0 OTHER
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LOCATION OF INSPECTION' L ) lP....) 0, ,~5A d /1 (/'=, .
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NAME OF OWNER' L/ ..,?1n c:2/r7 /:ft/ trt' 0' CONTRACTOR'
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DATE INSPECTION REQUESTED' /() - / 5 ~' Dc) TIME INSPECTION REQUESTED' 0 ,,-.:; c. ,0 ,(rl . PERMIT NO" I '7"'~
I
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE 0 STATQS CHECK
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BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL []kFINAL 0 PARTIAL
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COMMENTS:
UTILITIES:
"flD F~ED
-
P~,S FAILED
~ 0
COMMENTS:
o SEWER TAP 0 SEWER 0 SEPTIC g/WATERpJS? 0 REMOTE 0 WATER SERVICE
O - <<<"/1
PARTIAL cJ/.b....'.
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
COMMENTS:
MECHANICAL:
PASSED FAILED
[J 0
ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED .
[J 0
;.
COMMENTS:
PLUMBING:
COMMENTS:
o GROUNDWORK 0 ROUGH-IN 0 FINAL [j WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
-.... .'.' ~. ., ,
PASSEDF~ED
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o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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