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BPE3170Blair Building Permit Detail Permit #: E3170 Issued: 11/30/2009 Type: Electrical Miscellaneous Completed: 5126/2010 Valuation: Location: 12668 US Hwy 75 Owner: Mick Jensen Permit Fee: 25 Address: 12668 US Hwy 75 Issue Fee: 25 Deposit Amt.: Blair, NE 68008 Receipt #: Phone: Section: Township: Range: Subdivision: Lot: 69 Block: Upgrade to 200 amp service from 100 amp. Contractors Judt Electric General Contractor Permit # Issued Remarks Inspections Date By 5/26/2010 KAR Electrical Permanent Service Pass 5/26/2010 KAR Electrical Final Pass UILDING INSPECTION REPORT 4 ITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE LOCATION OF INSPECTION NAME OF OWNER r < , CONTRACTO DATE INSPECTION RE UESTED ? ' i , P> r ;G Q IME INSPECTION REQUESTED � d ` PERMIT NO TYPE OF INSPECTION REQUESTED: s/ `� ❑ CONFERENC ❑ STATU CHECK BUILDING: C OMMENTS: ❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ UTILITIES: COMMENTS: ❑ El SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PARTIAL PASSED El FAILED El ELECTRICAL: ❑ COMMENTS: MECHANICAL: ❑ COMMENTS: OUGH IN FINAL PERMANENT SERVICE ❑TEMPORARY SERVICE ❑ PRECONNECT PARTIAL y , ( ` " «, p � ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSE PASSED ❑ FAILED ❑ FAILED ❑ PLUMBING: COMMENTS: ❑ F1 GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ FAILED El ❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS- INSPECTO `y DATE OF INSPECTION MADE: 6' T F E 0 D\BURT REA ��� TO CONNECT SERVICE: ON By /-A - Job Address //; / 4 / /� �/ , / y &&61 ,T //'- g {�� e , e e fe Owner c�' Mail Address zip Phone 1. Contractor ' Maid Address !� zig Phone �(� 6 , 2.l �' 3. Class of Work: Cl NEW RESIDENTIAL O NEW COMMERcfAL O REMODELING /ADDITIONS PGRADE SERVICE Describe Work: O & 6 � G � 4. 5.Current License on File -g Yes O No O N/A Completion Date ELECTRICAL PERMIT FEES Service Fee = (Amp Fee + $5.00 per branch circuit) Upgrade Existing Service .............$25.00 L 1 -100 Amp Fee .......................$25.00 Temporary Service.... .... $15.00 101 -200 Amp Fee .......................$35.00 201 -300 Amp Fee .......................$55.00 Fire Alarm System............ ......$15.00 "' 301 -400 Amp Fee .......................$75.00 Signs ( each) .............................. $25.00 401 -500 Amp Fee .......................$95.00 Miscellaneous Apparatus .............. $15.00 501 -600 Amp Fee ..................... $115.00 601 -700 Amp Fee .....................$135.00 Commercial/Multi Family and All Upgrades: 701 -800 Amp Fee .....................$155.00 801 -900 Amp Fee .....................$175.00 # of Circuits x $5.00 901 -1000 Amp . ........................$195.00 Amp Fee IF OVER 1000 Amp 1" 1000 Amp Fee ..................$195.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $20.00 New Residential: (Finished Area) Single /Two Family Dwellings Notice sq. ft. x .063 I hereby certify that I have read and examined this application and know the same to be true and correct. All Modular /Manufactured Homes ....... $50.00 provisions of laws and ordinances governing this type of Other: (alterations, additions and modifications) work will be complied with whether specified herein or not. The granting of a permit does not presume to give Receptacles /Switches /Lighting Fixtures (I 10 volt only) authority to violate or cancel the provisions of any other # of Apparatus x $1.00 state or local law regulating construction or the .......... performance of construction. Power Apparatus (220 Volt or higher) # of Apparatus...... x $8.00 Smoke Detectors..... x $3.00 ignature of Cont or or thorized Agent Permit Issuance Fee.. ..$25.00 Total u Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 1S YOUR PERMIT Approved By: (1-3, Rev. 2008 -10 .~ N I J: ~ '>F.... DEe ^ i) ~rD ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 ~ Application Date: /1~/3tJ "0'1 Job Address 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 1'11000 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 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. E 3170 if /r~ d NEW COMMERC ~VC) 'Cvji; J'l Z~4/l L 0 REMODELING/ADDITIONS o,'1J1 J2jl//,/(!JL Completion Date ELECTRICAL PERMIT FEES Phone PGRADE SERVICE Upgrade Existing Service............ .$25.00 Temporary Service.................... $15.00 Fire Alarm System.................. ...$15.00 Signs (each)......................... .....$25.00 Miscellaneous Apparatus........ ......$15.00 /} h~.tJti c:;-;{ () Commercial/Multi 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) Receptac1es/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 /1 -.' ()' Permit IssuancePee...................$25.00 0(6. u ,1-, i,JO Total c7 () . Comment: WHEN PROPERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I Approved BY:;7j ?';1. L '. ) ( . c.t I :L14.Arv,--", I Rev. 2008-10 BUILDING INSPECTION REPORT " CITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHE ❑ FOOTING [:1 DECK FOOTING El FRAMING ❑ DRYWALL [:1 FINAL ❑ PARTIAL LOCATION OF INSPECTION FAILED ❑ UTILITIES: COMMENTS: s NAME OF OWNER f � A E� ✓ rW CONTRACTO �� f r DATE INSPECTION REQUESTED f '' F _ IME INSPECTION REQUESTED PASSE , PERMIT MECHANICAL: ❑ COMMENTS: ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ TYPE OF INSPECTION REQUESTED: 4c/1"� wv�r ❑ CONFERENCE ❑ STA TUS CHECK BUILDING: COMMENTS: ❑ FOOTING [:1 DECK FOOTING El FRAMING ❑ DRYWALL [:1 FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ UTILITIES: COMMENTS: ❑ F] SEWER TAP ❑ SEWER [:1 SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PARTIAL PASSED F] FAILED F] ELECTRICAL: COMMENTS: ❑ ROUGH IN_ FINAL PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT PARTIAL PASSE FAILED ❑ MECHANICAL: ❑ COMMENTS: ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL PASSED ❑ FAILED ❑ PLUMBING: COMMENTS: ❑ F1 GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL PRESSURE TEST PASSED ❑ FAILED F-1 ❑ - OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS - INSPECTO DATE OF INSPECTION MADE: T F E D�BURT REA TO CONNECT SERVICE: _fG