1352 Washington StBUILDING INSPECTION REPORT
❑ CITY OF P.LAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OF INSPECTION
NAME OF OWNER _ CONTRACTOR:
DATE INSPECTION REQUESTED. PERMIT NO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL
UTILITIES:
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOTORS
❑ PERMANENT SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C
PLUMBING:
❑ GROUNDWORK
RESULTS OF THE INSPECTION:
NOTES/REMARKS:
INSPECTOR
7,ALLED OPPD\
DATE OF INSPECTION MAN..
'ANT OFFICE STAFF TO CALL OPPD\
❑ TEMPORARY SERVICE
❑ FINAL
❑ ROUGH -IN ❑ FINAL
PASSED (SEE NOTES) ❑ FAILED (SEE NOTES)
/ } 6 TIME:
TO CONNECT SERVICE:
❑ YES NO
❑ YES
❑ NO BLR 1
January 12, 2000
TO: Whom it May Concern
City of Blair, Nebraska
RE: 1352 Washington Street, Blair, NE
Owner: BB Capade (Bill Neuman, Sr.)
Please be advised that there is no longer any insurance coverage in force on the dwelling located at
1352 Washington Street, Blair, Nebraska. It had been covered under the captioned policy, but was
removed effective 11/27/99, after it was damaged by fire.
If you need any further information, please feel free to contact us.
Sincerely,
RFH /mkc