BPP1950
Permit #: P1950 Issued:
Completed:
Location: 540 N 22nd 8t
Owner: Terry Peterson
Address: 540 N 22nd 8t
Blair, NE 68008
Phone:
Section: Township:
Subdivision: DEXTER8
Water line repair.
Contractors
Henton Trenching, Inc.
Remarks
Inspections Date
10/27/2008
10/27/2008
By
OEM
OEM
a
1\"
Blair Building Permit Detail
/'i
10/27/2008
10/27/2008
Type: Plumbing Miscellaneous
Valuation:
Range:
Lot: 5 & 6
General Contractor
Finallnspeclion of Project
Water Service
Permit Fee: 15
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
~FBLAlR
LOCATION OF INSPECTION-
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
NAME OF OWNER-
CONTRACTOR-
"'5" j ;
- ./ /- "'-.,.-> \,
~~/-~'
TIME INSPECTION REQUESTED-
(,,'"7
l 1
PERMlT NO-
,. :~
l
TYPE OF INSPECTION
o CONFERENCE
o STATUS CHECK
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
COMMENTS:
UTILITIES: 0 SEWER TAP 0
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
o REMOTEL1W ATER SERVICE
PASSED FAILED
't2J 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 AIC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
PASSED FAILED
o 0
NOTESIREMARKS'
~
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: /tJ - ,;;J? ./013 Permit Fee: $
~ Icsf Add f/0 O?'ofs c'/It; /JJ;e,.5 / .'
~ tJ Al 2~cI d'f-' 6 ?oo5138 7
Owner< j) L Mail Address _ f), I Zip
1. ~ rJrd~ \,J"tUltl Cl<J aotJtI-I
Contractor I ) t ~i1 Addre~s i-Zip
2. J/Pl rt771 7 vttm !/7J41
3. Class of Work: 0 COMMERCIAL IiitRESIDE IAL
Describe Work:
4.
Total
Current License on File es 0 No 0 Nj A
Comment: A.(rJo11 -0..
'~/Pv? CJV" to / ~ '<'/, Ov
WHEN PROPERLY VALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: :Z' ;OJ IJ~
Job Address
Comments:
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.
Ji/~ ;{
{.../ Signature of Contractor or Authorized Agent
/~ 7 OcY
Date
~
P 1950
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Phone
Phone
o New
o Addition
epair
o Replacement
o Alteration
'a(//
, 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...................$6.00 x
Drinking Fountain........................$6.00 x_
Backflow/Grease Trap... ..... .... .$15.00
Water Service...................... .$15.00 --'-
Sewer............................. ....$15.00
Groundwork...................... ...$15.00
Septic Tank & Laterals..... ....... $15.00
Lawn Sprinkler System......... ...$10.00
Sprinkler System (Commercial)..$30.00
Gas/Water Piping System
(Commercial)................. .......$50.00
/,<;' -00
Permit Issuance Fee................ .$25.00
.()o
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Rev. 2008-10