BPP1946
Permit #: P1946 Issued:
Completed:
Location: 11055 Hillbilly Ln
Owner: Kermoade
Address: 11055 Hillbilly Ln
Blair, NE 68008
Phone:
Section:
Subdivision:
Septic Replacement
Township:
Contractors
Henton Trenching, Inc.
Remarks
Inspections Date
10/21/2008
10/21/2008
By
OEM
OEM
Blair Building Permit Detail
10/21/2008
10/21/2008
Range:
Lot:
I
(
MOV 0
Type: Plumbing Miscellaneous
Valuation:
General Contractor
Final Inspection of Project
Septic - Laterals & Orainfields
Permit Fee: 15
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
~FBLAlR
BUILDING INSPECTION REPORT
LOCATION OF INSPECTION:
D WASHINGTON COUNTY
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CONTRACTOR'
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NAME OF OWNER'
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DATE INSPECTION REQUESTED'
TIME INSPECTION REQUESTED' j' '1.)\)
PERMIT NO'
f r; '/t,
TYPE OF INSPECTION
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D CONFERENCE
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER
D PARTIAL
PASSED FAILED
D D
SEPTIC D WATER TAP D REMOTE D WATER SERVICE
COMMENTS:
7F~ED
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANT HEAT D FINAL D ,PARTIAL
FAILED
D
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAt D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
o D
D OCCUPANCY GRANTED D CONDITIONArOCC;UPANCY GRANTED
NOTES/REMARKS'
FAXED OPPD\BURT REA
TO CONNECT SERVICE:
vB
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Job Address
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Contra t r J, M,iI_ Address
2, (/I\. IDh (I'ChU'td'l'
3. Class of Wark: 0 COMMERCIAL 0 RESIDENTIAL
Describe 'fo\k: ..1 () I J
4, j'V f 0 c YCct' ' "" ''\ ~ e-
P 1946
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Permit Fee: $ Yo
II oS-:;
Phone
Lf,ci '1A~
Phone
tt.PB
Current License on File
Connnent:
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: ~" 12I1~
Connnents:
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.
o New 0 Addition
o Alteration
o Repair
Replacement
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,OO x_
Water Heater..,.,."",.",.,.,.. ....$10.00 x
Outside Water Faucet...................$6,OO x
Drinking Fountain........................$6,OO x_
Backflow/Grease Trap.",., ,."" .$15,00
Water Service",.., '.",.""" ,., .,$15.00
Sewer,.".,..,..,..,.."..,..,...., ...$15.00
Groundwork....,........., "..,.. ...$15,00
Septic Tank & Laterals...,......., $15.00
Lawn Sprinkler System... ...... ..,$1 0,00
Sprinkler System (Connnercial)..$30,OO
Gas/Water Piping System
(Commercial)..,.".."..,."...... ..$50,00
/S-v()Q
Permit Issuance Fee... ...... ....... ,$25.00
Yes
Total
o NjA
o No
Rev. 2008-10
BUILDING INSPECTION REPORT
D CITY OF BLAIR
D W ASIDNGTON COUNTY
D OTHER
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CONTRACTOR' ~~V\ -h'::l),..,
TIME INSPECTION REQUESTED' J '- 00
LOCATION OF INSPECTION'
NAME OF OWNER' k (,'" ;/1,,\ OCi J<.:
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DATE INSPECTION REQUESTED' ~, -
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PERMIT NO' P IS Y ~
TYPE OF INSPECTION REQUESTED: D CONFERENCE o STATUS CHECK
~=~~~~~~....:mWl?==-=-'~--
BUILDING: 0 FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL PASSED FAILED-,
D D
COMMENTS:
UTILITIES: D SEWER TAP D
o PARTIAL
D WATER TAP 0 REMOTE D WATER SERVICE
FAILED
D
COMMENTS:
ELECTRICAL: D ROUGH IN D
D PARTIAL
SERVICE D TEMPORARY SERVICE D PRECONNECT
FAILED
o
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC 0 FURNACE D RADIANTHEAT 0 FINAL D PARTIAL
PASSED FAILED
CJ D
COMMENTS:
PLUMBING:
D GROUNDWORK D ROUGH-IN D FINAL 0 WATERMETERINSTALLED D PARTIAL
o PRESSURE TEST
FAILED
[J
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED"
NOTES/REMARKS'
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