BPE3144
Permit #: E3144 Issued:
Completed:
Location: 2267 Nebraska St
Owner: Hank Gregory
Address: 2267 Nebraska St
Blair, NE 68008
Phone:
Section:
Subdivision:
New Service to house.
Township:
Contractors
Dugan Electric Co.
Remarks
Inspections Date
9/18/2009
9/18/2009
By
KAR
KAR
Blair Building Permit Detail
9/16/2009
9/18/2009
Range:
Lot: 7
Type: Electrical Miscellaneous
Valuation:
General Contractor
Final Inspection of Project
Electrical Permanent Service
Permit Fee: 25
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
Pass
. "
. , ----~.-~-c,------
BUILDING INSPECTION REPORT
',c;l:::CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
.7'-/ / !"~l ,,;' / - \, i. ,
WCATION OF INSPECTION- / _ ". ,,~ f.,; I I'Jf~"/ilJi: .) ,
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NAME OF OWNER' ./ "L.t/l',__. C1/(':r.;;:.-:n(l. CONTRACTOR' <_l<,R!l/!~,)\'-!
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DATE INSPECTION REQUESTED' (:1 r Ej'ol.j TIME INSPECTIOl)T !}EQ.ijESTED' u., ~_/;.iba.;;.f;~~.:b.?(~l PERMIT NO' ,C') .,:/lr~/
r,:;\sfa(f AJeuJ /0-0 A-;tfr fO~.{ -e /j . -;") ('r,!. /VI .
TYPEOFINSPECTIONREQUESTED:P~ hid ',l!'IJ.ekv i'cckr (::-;tJ~CONFERENCE 0 STATUS CHECK
\;;ZY&r""~"WElJl0."i<t'iW.;J;==~'l'Ee=."$~'''''='k''''"~'"~'O"'~=-''==&"'fz;r~='lli~~~;Z'.i;)@:,WBrb~~~=-&:ill\"Z:ll"1l.ID:=W-==,.==~,=~=rdr~~d'l1Z'iiI:<J!'~-=p=!w,mr.m::::;;;nm,I"~'Zi:ill'.="'m=ffi~~"""'=$"","~
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL ~~"FINAL 0 PARTIAL PASSED FAILED
o 0
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL-,g::PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NimSIREMARKS (qlld ,firb 6PfJD ~L;hIF
t/"CSZ>P/ fbr t:hJer h&Zc/ S't<>Y'vP/~ e
PASSED FAILED
o 0
.$ .:s) /J/PI
..
INSPECTO '
" ~
DATE OF INSPECTION MADE: () 7 '-1 f?' ;;;l:iVlrIMF' r - ~
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
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Cj_/lj-O _ . . , .
3 C' jJJt/)i/~ I~) r/fl.Llb ~ : /7 ,e Pt'
c:7~ & 17 UbCLdLc7 &1.
Zip Phone
C2#
Application Date:
Job Address
Owner
1.
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
1 sl 1000 Amp Fee.............. ....$195.00
Each additional 100 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 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 locallaw regulating construction or the
performance of construction.
.' d'
Date
E 3144
.l.
-f:
CI___?
/ . Zip' /J-
JLYiC0fa ~0.
REMODELING/ADDITIONS
, Phone fA .
Unclha U'c1!.
UPGRADE SERVICE
f
Completion Date
ELECTRICAL PERMIT FEES
Upgrade Existing Service........... ..$25.00 c2 5' t7 0
Temporary Service...... .. .. .. .. .. .... $15.00
Fire Alarm System.................. ...$15.00
Signs (each)......................... .....$25.00
Miscellaneous Apparatus......... .....$15.00
CommerciallMulti 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)
Receptacles/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
d~r du
Permit Issuance Fee.................. .$25.00
~7 c::'6
Total c/ t '
Comment:
WHEN PRO PERL Y V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: :;? ~d I.
<--. ' J'T'~~
Rev. 2008-10