BPP2021
Permit #: P2021 Issued:
Completed:
Location: 12645 Hwy 30
Owner: Troy Soderberg
Address: 12645 Hwy 30
Blair, NE 68008
Phone:
Section: 23
Subdivision:
Move Meter Pit
Contractors
Henton Trenching, Inc.
Remarks
Inspections Date
6/29/2009
6/29/2009
Township: 18
By
MARH
MARH
Blair Building Permit Detail
6/25/2009
6/29/2009
Type: Plumbing Miscellaneous
Valuation:
Range: 11
Lot: 130
General Contractor
Plumbing Final
Final Inspection of Project
Permit Fee: 15
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
~'YOFBLAlR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
LOCATION OF INSPECTION'
NAME OF OWNER'
CONTRACTOR'
DATE INSPECTION REQUESTED-
TIME INSPECTION REQUESTED-
PERMIT NO'
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL D FINAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D 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 D AlC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN
D PRESSURE TEST
PASSED FAILED
D D
FINAL D WATER METER INSTALLED D PARTIAL
PASSED FAILED
CBJ D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS-
INSPECTOR-
DATE OF INSPECTION MADE:
TIMP'
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Current License on File
Dme conun~
WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
[Approved By: .
. I-\. ~6\J d h.t V
Application Date: ----.ltl J-Jsl c?'1
Job Address
Conunents:
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.
P 2021
Zip
Phone
o New 0 Addition 0 Alteration 0 Repair 0 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.....$6.00 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 (Conunercial)..$30.00
Gas/Water Piping System
(Conunercial).................... ....$50.00
_IS.Cl()
Permit Issuance Fee................ .$25.00
DYes
Total
o N/A
o No
Rev. 2008-10
BUILDING INSPECTION REPORT
D CITY OF BLAIR
D WASHINGTON COUNTY
D OTHER
f'
LOCATION OF INSPECTION:
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TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL D FINAL 0 PARTIAL
D STATUS CHECK
PASSED FAILED
D D
COMMENTS:
UTILITIES: D SEWER TAP 0 SEWER D SEPTIC D WATER TAP 0 REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN 0 FINAL 0 PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
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PASSED FAILED
D D
COMMENTS:
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FINAL 0 WATERMETERINSTALLED D PARTIAL
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D
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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TO CONNECT SERVICE: ON
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