BPE3163
Permit #: E3163 Issued:
Completed:
Location: 1240 South St
Owner: Robin Renard
Address: 1240 South St
Blair, NE 68008
Phone: 402 360 0504
Township:
Section:
Subdivision:
Service upgrade to 100 amp service.
Contractors
Sholtz Services, Inc.
Remarks
Inspections Date
11/4/2009
11/4/2009
By
KAR
KAR
Blair Building Permit Detail
11/2/2009
11/4/2009
Range:
Lot: 9
Type: Electrical Miscellaneous
Valuation:
General Contractor
Electrical Final
Electrical Permanent Service
Permit Fee: 25
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block: 72
Permit #
Issued
Pass
Pass
:[>j'~ BLAIR
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
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NAME OF
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DATE INSPECTION REQUESTED- '" i V " TIME INSPECTION REQUESTED-
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL';~';: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
COMMENTS:
ELECTRICAL: 0 ROUGH
D PARTIAL
PASSED FAILED
D D
JdlSEERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
COMMENTS:
MECHANICAL:D ROUGH-IN D AlC D FURNACE D RADIANTHEAT D FINAL D PARTIAL
~F~ED
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
D D
8'g
JNSPEcrO~~~ DNI'E OF JNSPECITON MADE' /100:.;;<tJOT
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FAXED OPPD\BURTREA dn ~ ~~~. f) j 0 lTOCONNECT SERVICE: ON
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BY
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ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 E 3163
(402)426-41918'100 t.f1.P;;?70
Application Date:
11- {::},. () 1
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Job Address
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Zip
Owner 9 I .
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3. Class of Work: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL
Describe Work: \} '. tJ,. _..I '" ,L'/\
4. (-.J UJ/t tfj t!.P ~ c.~ a?LP L v
5.Current License on File Yes 0 No 0 NjA
Phone
c;tJ 2- -30 !/J ~ 05 t.?
J/ Zip _II j Ie Phone '
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o REMODELINGj ADDITIONS PGRADE SERVICE
~d
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 st 1000 Amp Fee............... ...$195.00
Each additiona1100 Amps...... ...$20.00
Notice
I hereby certify that T 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.
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Completion Date
ELECTRICAL PERMIT FEES
cX5-, () t.l
Upgrade Existing Service............ .$25.00
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
2-.t?c/
Permit Issuance Fee...................$25.00 "",,::J '
Total ~ ,t?O
Comment:
WHEN PRO PERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: \.i!/?J J J~
Rev. 2008-10
_\3;~BLA1R
BUILDING INSPECTION REPORT
D WASHINGTON COUNTY
D OTHER
NAME OF
. /~;?<l~c;j
DATE INSPECTION REQUESTED'
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TIME INSPECTION
TYPE OF INSPECTION
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL
D CONFERENCE
D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP D SEWER D SEPTIC D WATER TAP D REMOTE D WATER SERVICE
D PARTIAL
COMMENTS:
ELECTRICAL: D ROUGH
D PARTIAL
PASSED FAILED
D D
FINAL Q<EERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
COMMENTS:
~F~ED
MECHANICAL:D ROUGH-IN D AfC D FURNACE D RADIANT HEAT D FINAL D PARTIAL
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
PASSED FAILED
D D
COMMENTS:
PASSED FAILED
D D
o OCCUPANCY GRANTE", DJ.1 ~ONDlTImt)NCY GRANTE" c ~
NOTESfREMARKS' ca/IM l/l~ -f;t~/ -If; 0 ~
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rNsPEcro~~~ DAlE OF lNSPECTIONMADE, //-O~;;<<:JcJT
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FAXED OPPD\BURT ~EA 1\ ~n ~ ,~~, 1)' D ITO C,ONNECT SERVICE:_ ON
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BY