BPP2056
Permit #: P2056 Issued:
Completed:
Location: 9367 Co Rd 31
Owner: Lisa Shrum
Address: 9367 Co Rd 31
Blair, NE 68008
Phone:
Section: 22
Subdivision:
New septic for home.
Township: 18
Contractors
Henton Trenching, Inc.
Remarks
10/5/2009
HOW
Inspections Date
1 0/2/2009
By
HOW
Blair Building Permit Detail
10/1/2009
10/2/2009
Type: Plumbing Miscellaneous
Valuation:
Range: 11
Lot: 18
General Contractor
1. new septic and pressure test-ok
Plumbing Groundwork
Permit Fee: 15
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block:
Permit #
Issued
Pass
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BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
NAME OF
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DATE INSPECTION REQUESTED' /' tj /7'
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TIME INSPECTION REQUESTED' ,; i'oft> " {
PERMIT
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~;SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D
D PARTIAL
PASSED FAILED
D
SERVICE D PRECONNECT
PASSED FAILED
D D
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATER METER INSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
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OK
OK
INSPECTOR'
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DATE OF INSPECTION MADE: I () - <~..~ 0 1
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FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
93
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:
/IJ .-/-0 <(
P 2056
Job Address
It- I f3
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Permit Fee: $ '-r (I.
~3 1;:1'09
8900010 ~
Phone
Owner
Comments:
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,
Date
Zip
Phone
o Addition 0 Alteration 0 Repair 0 Replacement
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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,OO 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 (Commercia1)..$30.00
Gas/Water Piping System
(Commercial),..".".... "., ,..,....$50,00
Permit Issuance Fee",.."...,.".. .$25,00
Current License on File
Comment:
Total
ptYes 0 No 0 NjA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By:. 'Y' ~ L. ... J
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Rev. 2008-10
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BUILDING INSPECTION REPORT
CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
LOCATION OF INSPECTION'
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NAME OF OWNER! ,,\/< ,'~) i" '. V/)//4!?t~?;iL "
DATE INSPECTION REQUESTED' ,/ ~;:? />;( (.I ~)
TIME INSPECTION REQUESTED'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES: 0 SEWER TAP 0 SEWER!ij:::'SEPTIC 0 WATERTAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
PASSED FAILED
~ 0
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANT HEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
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
NOTES/REMARKS'
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OK
OK
INSPECTOR'
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DATE OF INSPECTION MADE: i () - <-~). -.' C) 1 TIME' )!:zJ
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY