BPE3025
Permit #: E3025
Location: 3rd Ave
Owner: Capital Electric
Address: 3rd Ave
Blair, NE 68008
Phone:
Section:
Subdivision:
Issued:
Completed:
Township:
Blair Building Permit Detail
10/21/2008
11/14/2008
Range:
Lot:
Provide PS Temp service to job site trailers (6 months)
Contractors
Dick's Electric
Remarks
Inspections Date
11/14/2008
11/14/2008
By
OEM
OEM
Type: Electrical Miscellaneous
Valuation:
General Contractor
Electrical Final
Final Inspection of Project
Permit Fee: 30
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
J ED WW 1 3
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 E 3025
(402) 426-4191
O'>'ier. i C).I n. ~ 1. ,Mail Address
1.\:,.(t 11m VLZU' r\ G
COI}~ctor \c t S C' Mail Address
2. U I c..., c. c.....
3. Class of Work: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL 0 REMODELING/ADDITIONS 0 UPGRADE SERVICE
~~scribe wor~ ~ ,> At) 1u
5 ,Current License on File -:s: Yes 0 No 0 N/A
~
Application Date:
\ Oi2l 11)~
Job Address
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee,................,... ..$25.00
101-200 Amp Fee,........ ... ...... .. ...$35.00
201-300 Amp Fee......... ... ...... .. ...$55.00
301-400 Amp Fee,..... ,.' ....., ... .....$75.00
401-500 Amp Fee...... ... ...... ........$95.00
501-600 Amp Fee................... ..$115.00
601-700 Amp Fee.....................$135.00
701-800 Amp Fee.....................$155.00
801-900 Amp Fee................... ..$175.00
901-1000 Amp........................ .$195.00
IF OVER 1000 Amp
1st 1000 Amp Fee......... ...... ...$195.00
Each additional100 Amps..... ....$20.00
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.
Q . Permit Fee: $ 6~'5 .00
uC106 ;J.d.{ '1w
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Zip
Phone
Zip
Phone
ELECTRICAL PERMIT FEES
~rade Existing Service............ .$25.00
::> ^/'h!lU'.\.' 2- $
effilY ServIce....... Xi........... 15.00
Fire Alarm System................. ....$15.00
Signs (each)... ................... ........$25.00
Miscellaneous Apparatus......... .....$15.00
'2....... 'J'\
-:>J ' L"-,,
Commercial/Multi Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptac1es/Switches/Lighting Fixtures (110 volt only)
# of Apparatus .......... x $1.00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
cJ.!; . 00
SS.6D
0-1 eJiu-?-- {\ JJ c1 +0
IS IS YOUR PERMIT W
I
Rev. 2008-10
Permit Issuance Fee............ .... ...$25.00
I 1 ;"'"
1--.1--0
Date co~ u).J.D c.o1ll
WHEN PROPERL Y VALIDATED (IN THIS SPACE)
I Approved By: 1\ L 6u d.JtJt It-.
Total
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BUILDING INSPECTION REPORT
i''-
i~
~lTY OF BLAIR 0 WASHINGTON COUNTY 0 OTHER
(- ::::: I J}" L. L") . \...j.1 '
LOCATION OF INSPECTION' ~Ac; ( l~U;l [; c;J ( of) LJ'I fJi /="'1 aL.ltuJ.:J
/-; A II I \.
NAMEOFOWNER( tZ,pffc;.l! ('___{jl(!.I/v'6 CONTRACTOR' - (iJ_./d-dY L~t;!ciAJ~
I
DATE INSPECTION REQUESTED' /1 ~- / tI - () 13 TIME INSPECTION REQUESTED' f, f/\ ' PERMIT NO!~~ 3 () bid
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
~D-;;OTING~D~-D~~;;;;~IN;~D-;;~~-;O~;~-;~INAL 0 PARTIAL
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER D SEP1IC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
COMMENTS:
ELECTRICAL: 0 ROUGH IN'MFINAL 0 PERMANENT
o PARTIAL
MECHANICAL: 0 ROUGH-IN 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
o ST ATUSQ!ltPI\
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