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BP13398Date: Approximate Completion Date: Site Plan Attached: REScheck Attached: Complete Plans Attached Application for: Residential. New Construction Move -on: Home Remodel 1-1"' Commercial/Industrial Manufactured Home Modular Accessory Building Other Addition Accessory Building: Garage Pole Barn Other Floor Type: Dirt Concrete Electricity: Yes No Sign Erecting, Awnings Decks/Handicap Ramps (plot plan required) Satellite Dishes/Radio Antenna/Cell Towers (plot pian required) Other Utilities: Public Water: Yes No Private Well If yes, responsible entity: Blair OPPD Line Kennard Agreement needpd: Date Agreement Received: Public Sewer: Yes No Septic Drawing Provided: If yes, responsible entity: Blair Kennard County Road Permit Required: Yes No Submitted: Yes No Additional Description of project if necessary.° F t ? G"r - ,e "-J L 7 - ,tet G'7 77,za�� Project Information: Job Address: - 3106 -t � r7° .tea 3 � , , i =.� ,--� Legal Description (if applicable) ' 6 6tlk J' i � A N Owner: / y � iti cr'a 5 IA gess: f 7.16) (L (V Phone#: Contractor: 611-, 1 v Phone #: Address: 1 . GCell #: Email Address for Contractor: 6) 7alllz /s n Separate permits are required for electrical, plumbing, hearting, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge this building permit application does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of a permit signed by the Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codes/ordi ces of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within SO_days z'r'iso mplet within two (2) years of date of issue. 7molt1`� igna of Owner/Contractor Date v - For Building Permits other than One & Two Family Residential Structures: I hereby acknowledge and agree that I have/will submit a set of plans for this project to the Nebraska State Fire Marshal's Office for Review. Signature of Owner/Contractor Date CITY i, NEBRASKA Phone 402-426-4191 RECEIVED OF: ADDRESS CITY, STATE, ZIP CODE THANK YOU KEEP THIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Bleu, NE 68006 6 N RECEIVED MAR 2 4 2010 IT OF BLAIR NEBRASKA ADDRESS-�f)--C, [PERMIT NO: q e) VEN— '® PLATE LINE hl �li,!��IN m I� � � �-��' To GULTURED 71 - STONE 6) VENEER GENERAL NOTES FE3 afrikIV[tl-Ng IkyiyA Zoning/Flood Plain Utilities: Current Zoning: 9 M Conditional Use Permit Required: Yes No Date CUPApproved: State Fire Marshal Required: Yes No Variance Required: Yes No Minimum Setbacks: Front Second Front Side Side Rear Lot Square Footage: Length x Width: Lot Coverage % Driveways/S i d ewa l ks: Sidewalk required: Yes No Sidewalk Waiver: Yes No Date Waiver Approved: Preexisting Garage req ires driveway to be less than 3' from property line: Yes Approved by: Flood Plain: Yes No If yes, specify special requirements: BUILDING INSPECTOR REVIEW: Number of Stories One Two Three Four Type of Residential Structure: Ranch Two Story Split Entry Rooms Bedrooms Bathrooms >Four High Rise (>75 ft) Raised Ranch Other Fireplaces'- Gas Electric Egress in Basement: Required: Yes No Provided on Plans: Yes No Sleeping Rooms Living Area Other Egress Square Footage: Main Level: Second Level: Third Level Basement: (Unfinished) I (Finished) Garage: 2 bay 3 bay 4 bay Detached Garage: Pole Barn: Addition: Remodel: Porch: Front Rear Side Deck that affect setbacks: Rear Front Side 5+ bay Occuoancv Classification: Assembly, theaters, with stage Assembly, theater, without stage Assembly, nightclubs Assembly, restaurants, bars, banquet halls Assembly, churches Assembly, arenas Assembly, general, community halls, libraries, museums Business Educational Factory and industrial, moderate hazard Factory and industrial, low hazard High Hazard, explosives (section continued on next page) MIN Application Date: PLUMBING PERMIT APPLICATION A Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 P 2127 (402) 426-4191 Permit Fee: $_ cj�' Job Address Z_/ OwnVer, Z�il �Address 1.SY Contractop •r T-:' AAA -9 Zip Phone 2. /,&j YLA� — 3. Class'of Work: C] COMMERCIAL —McRESIDENTIALO' AWTew [71 Addition 13 Alteration 11 Repair (71 Replacement Describe Work: Q_C`. " a PLUMBING PERMIT FEES Comments: 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— Notice Outside Water Faucet ...................$6.00 x I hereby certify that I have read and examined this application and know the same to be true and correct. All Drinking Fountain ........................ $6.00 x 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 Backflow/Grease Trap ............. $15.00 Water Service .......................$15.00 4-1 state or local law regulating construction or the performance of construction. Sewer .................................$15.00 Groundwork ......................... $15.00 Septic Tank & Laterals............ $15.00 Lawn Sprinkler System ............ $10-00 Sprinkler System (Commercial)..$30.00 Gas/Water Piping System (Commercial) ........................$50.00 Si a o Cowractor or Authorized Agent /0 Permit Issuance Fee .................$25.00 Z5_ —.00 Total Current License on File es [71 No r7l N/A Date Comment: WHEN PROPERL Y V ALIL)A I El) (IN I Hla �VAUh) I Hla 1a Y U U K -rhtuvil I Approved By: Rev. 2008-10 Application Date PLUMBING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 &'�-aZ-/-1�9 X96 Permit Fee: $ d 7 Job Address Ct y i % / T Owner ail Address ip Phone 1. �/ e sl &" � ( �. r1`1'T A ' /' SY, (� Contractor Mail ddress Zip Phone 2.! I2 3. Class of Work: O COMMERCIAL RESID TIAL New 11 Addition O Alteration O Repair 13 Replacement Describe Work: J1001 4. PLUMBING PERMIT FEES Comments: Water Tap Fee — 3/4" $150.00 Water Tap Fee —1" $200.00 Water Tap Fee — 1 1/2" $250.00 Notice I hereby certify that Cead 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 Water Tap Fee — 2" not. The granting of a permit does not presume to give ` authority to violate or can 1 the provisions of any other stat r loc law re ati g construction or the e man of co truction. Signature of Contractor or Authorized Agent Total 62422. Current License on File 10'Yes 13 No O N/A Date Comment: WHEN PROPERLY VALIDATED (INTHIS SPACE) THIS 1S YOUR PERMIT Approved By: Rev. 2008-10 PLUMBING PERMITAPPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street I Blair, Nebraska 68008 Fax (402) 426-4195 P 2110 (402) 426-4191 Application Date: A0 Permit Fee: $ �' 2.� 3. Clas of f Work: O COMMERCIAL Deseribe Work: , e 4 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. Zip Phone Zip Phone ; c,_ ) q O Addition O Alteration O Repair O Replacement PLUMBING PERMIT FEES Modular Home ......................$50.00 Type of Fixture No. Kitchen..............................$12.00x (►;(jl Bath.....Residential/Single Stall $12.00 x ..o ....................Multi -Stall $25.00 x - Rough -In Bath ........................$8.00 x i Additional Sinks.....................$6.00 x y" Slop Sink/Laundry Tray... $6.00 x. CID Water Heater............ .............$10.00 x ('` Outside Water Faucet...................$6.00 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 (Commercial).. $3 0.00 Gas/Water Piping System (Commercial) ........................ $ 50.00 Si nature of Contract or Authorized Agent g g Permit Issuance Fee ................. $25.00 Total - Current License on File Mdes 0 No O N/A Date Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y V UK PEKMI I Approved By: LGU a' 1/�_ Rev. 2008-10 MECHANICAL PERMIT ALCAI N O Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 M 1986 (402) 426-4191 Application Date: ) t/ a �L:� Permit Fee: $ ` Job Address 7 r� Owner Mail Addr L� Zip Phone � „ Contractor M i Address2. Phone ew O Additi n O Alteration Repair O Replacement 3. Class of Work: O COMMERCIAL"RESIDENTIAL Describe Work: MECHANICAL PERMIT FEES Heat Pump Tons Central A/C Tons Furnace/Heat Pump/Air Conditioner (Per Unit) Furnace 1! 5, D f2C9 BTU/H Up to and including 100,000 BTU / 3Ton.... k..................$15.00 # of Units A/C Furnace/Heat Pump/Air Conditioner (Per Unit) Furnace Over 100,000 BTU / 3 Ton.............................................$25.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor — Commercial (New or Replacement) (Per Unit) Boiler Chart$15.00 BTU Fee ................................................. Up to 100,000 ................................$15.00 100,000-500,000 ..............................$30.00 500,000-1,000,000 ........................... $40.00 1,000,000-1,750,000 ........................$60.00 Boiler (use BTU Chart to left).................... Over 1,750,000 ..............................$100.00 G> Appliance Vent/Fans ........................$10.00 / Notice Duct System..................... .............$15.00 I hereby certify that I have read and examined this application and know the same to be true and correct. All Gas/Air Outlets.................First 5 x $6.00 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or Additional x $1.00 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 Radiant Heat Systems/Gas/Water performance of construction. Piping System................................$50.00 . Modular Home ............................... $50.00 tri ignature f Contractor or Authorized Agent Permit Issuance Fee ..................... $25.00 y Total � � oo Date Current License on File es O No O N/A Comment: WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: 91 Rev. 2008-10 ELECTRICAL PERMITA Jurisdiction of City of Blair, Nebraska 3 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 E 3195 (402) 426-4191 Application Date: 3-3146 Permit Fee: $ 1 Job Address0 t'�V I 51— Own ail Address Zip Phone 1. Cont ctp r Mail Address Zip Phone 2. 3. Class of Work: ff NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE Describe Work: 4. S.Current License on File O Y& O No O N/A Completion Date ELECTRICAL PERMIT FEES Service Fee = (Amp Fee + $5.00 per branch circuit) Upgrade Existing Service............ $25.00 1-100 Amp Fee .......................$25.00 Temporary Service.................... $15.00 �; . Ow► 101-200 Amp Fee .......................$35.00 Fire Alarm System............ .....$15.00 201-300 Amp Fee .......................$55.00 Signs each ........$25.00 g (each) ...................... .............. 301-400 Amp Fee......... $75.00 401-500 Amp Fee .......................$95.00 Miscellaneous Apparatus.............. 15.00 501-600 Amp Fee.....................$115.00 Commercial/Multi Family and All Upgrades: 601-700 Amp Fee.....................$135.00 701-800 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 1St 1000 Amp Fee..................$195.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $20.00 New Residential: (Finished Area) Single/Two Family Dwellings Notice 1 ..5� 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 Signature of Corarktor or Authorize gent Permit Issuance Fee.. ..$25.00 Total 1 Fy A --161 Date Comment: IITT\l� XTT WHEN FKOPLKL Y V AL11JA 1 MJ �11v 11-113 3rt-V -) 1111 1� 1 1.1 J-XuYxl1 Approved By: Rev. 2008-10 N! QFTl1- BUILDING PERMIT DEPOSIT AGREEMENT A $5�ip, fundable deposit is being collected for any new commercial, new resid any additions, remodels and accessory building valued $10,000 or greater at the time of your building permit application. A $200.00 refundable deposit is being collected for any residential remodel, addition or accessory building valued under $10,000. A $50.00 refundable deposit is being collected for all misc. permits. The City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) Theft of water service by the plumber, owner or general contractor. 2) All permits have not been obtained. 3) All required inspections have not been obtained. 4) Occupancy occurs prior to a final inspection. 5) The project is completed without a final inspection being done. 6) Storm Water Management Plan inspection not obtained. (If Required) If any or all of these situations occur during construction, you may forfeit your deposit. I hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. i Contr or/Owner Date Contractor/Owner City of Blair High Hazard HPM Institutional, supervised environment Institutional, incapacitated Institutional, restrained Institutional, day care facilities Mercantile Residential, hotels Residential, multiple family Residential, one- and two-family Residential, care/assisted living facilities Storage, moderate hazard Storage, low hazard Utility, miscellaneous Is building required to be protected by automatic fire sprinkler system?" No Only partially in some areas or rooms Please Specify Yes If yes, the standard to which the sprinkler system will be designed: NFPA 13 NFPS 13R NFPA 131) Driveway Grade: 20% grade or less? Yes No (Dale will review new residential construction. Al will review all second access requests and industrial and commercial driveway requests) Required Off Street Parking: Permit Fee Calculation: Building Permit Deposit Fee: Commercial, new homes and residential additions/remodels/accessory buildings valued $10,000 or greater $ Fee - $500.00 Residential additioWremodels/accessory buildings valued under $10,000 $ Fee = $200.00 All other permits Fee = $50.00 $ RESIDENTIAL - NEW CONSTRUCTION: Permit fee is: Finished sq/ft area / 5 - 3 —X$92 (not including finished basement area) Finished basement sq/ft area X $56 Unfinished basement sq/ft area ILL `� s '—X$29 Garage sq/ft area —X$25 Total Valuation: Total Valuation��f_'71 1 .O Multiplied by 0.006 = Issuance Fee: $ 5766 $ j�t7 $ $ 25.00 = i 2 l l. "7 0 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ , `7 11. `7'1 RESIDENTIAL - ADDITIONS / REMODELS and COMMERCIAL - NEW CONSTRUCTION / ADDITIONS / REMODELS: Business/Industrial/Educational/Assembly/Factory/Storage/Utility *Porches with roofs/screened patios are considered additions Construction valuation computation: Sq/ft area X $63 Except for the following: Accessory Buildings & Interior Remodeling Projects: sq/ft area X $43 Pole barns with no hard surface floor: sq/ft area X $25 Sign Erecting/Awnings and Decks/Handicap Ramps: sq/ft area X $25 (Minimum valuation of $2000) Construction valuation computation: Finished sq/ft area X $ $ Construction valuation is ...................................Permit fee is: $0 TO $50 ...........................................................$0 $51 TO $500 ........................................................ $25 $501 TO $2,000 ........................................................$25 + $3 per additional $100 $2,001 TO $25,000 ........................................................ $70 +$13 per additional $1,000 $25,001 TO $50,000 ......................................................$370 +$10 per additional $1,000 $50,001 TO $100,000 ......................................................$620 + $7 per additional $1,000 $100,001 TO $500,000 ......................................................$970 + $5 per additional $1,000 $500,001 TO$1,000,000 ..................................................$2,970 + $4 per additional $1,000 $1,000,001 AND OVER ..................................................$4,970 + $3 per additional $1,000 Permit Fee calculated from chart above $ Issuance Fee: $ 25.00 Total Permit Fee = Deposit + Permit Fee + Issuance Fee $ Additional Comments: Approved by: L) -4`e' Date: 4 L i c Contingent On Approval by Fire Marshall Meet IBC, IPC, IMC and NEC Code Requirements Sleeping Rooms below Story and in Basement required to have egress For Office Use Only Date Permit Paid: Permit Fee: Deposit Amount Receipt # Deposit Paid by for return to: Building Inspection Pouch given: Yes No REScheck Software Version 4.2.1 C�(J Compliance Certificate i Project Title: Heritage villas PERMIT O.® Energy Code: 20001ECC 19.0 0.0 Location: Blair, Nebraska 0.290 Construction Type: Single Family 0.190 Glazing Area Percentage: 7% 0.190 Heating Degree Days: 6506 0.300 Construction Site: Owner/Agent: Designer/Contractor: 11th colfax Nielsen const Blair, NE 68008 Blair, NE �.�� r-�.r=� ✓ .r » �r �' a � r`''te"- '�;._��''-' .,�,.,�.= `f^��+�a" r� ".�'a""��`" ,,,�,�,., r-7- y�-x.� �^a- _,:=^-�'�� "*.-."�""- or'��-x.- "�,,.,;�-`%�w �%`" �'t; �, Compliance: 39.4016 Better Than Code Maximum UA: 378 Your UA: 229 Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Metal Frame with Thermal Break:Double Pane with Low -E Door 1: Solid Door 2: Solid Door 3: Glass Basement Wall 1: Solid Concrete or Masonry Wall height: 9.0' Depth below grade: 8.0' Insulation depth: 9.0' Furnace 1: Forced Hot Air 92.5 AFUE Air Conditioner 1: Electric Central Air 14 SEER 1550 0.0 50.0 29 1656 19.0 0.0 90 95 0.290 28 21 0.190 4 21 0.190 4 20 0.300 6 1242 0.0 11.0 68 Compliance Statement. The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in RESchedkVersion 4.2.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. s Name - Tide r Signature Date Project Notes: 3- bedroom,2-bath, 2 -car garage Project Title: Heritage villas Report date: 03/22/10 Data filename: Untitled.rck Page 1 of 1 PERMIT NO: [ 33qgFILE C 01P',, Q Ll� Id IVNI3 NW'oDial •7AY'3 09W'0WZ0t:a Qx Kte9vas+ae3Nbwvcvo avow-nmmose9ol �x WY 0 o t Lid.,sial(aAanu S a dOMI .LV1da2I I�IOi L1QQV Q2IIH L `IS ?1J01fl yNI `a3td�l0 Pi �� 3i10'PIOSdO1 .,m.. 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JiS qlO l �z p� o 'Wet t in x OS �n I � 'nw to I o x � I LO xO = i o I 1 I ,0S r------- I I j ,OS ' 3WOH I I 3WOH W) .i.SS x ,oS I I I.*.SS x .09 I I i 13381S 4311 � 33 v� ._ _ ,._�_ —, ,_ _ _ .�o . , .. s 0 w - tir.ir ♦ �r zip �, I 12� - i3lb? �v mi I 12� - 'Y '3 9����' l� S INSPECTOR BUILDING INSPECTION REPORT TIME - CITY OF BLAIR Fl WASHINGTON COUNTY El OTHER BY LOCATION OF INSPECTION - NAME OF OWNER- CONTRACTOR - -J DATE INSPECTION REQUESTED TIME INSPECTION REQUESTE1 PERMIT NOL- TYPE OF INSPECTION REQUESTED: F-1 CONFERENCE F-1 STATUS CHECK BUILDING: llli� FOOTING F-1 DECK FOOTING E:l FRAMING E:l DRYWALL F-1 FINAL F-1 PARTIAL PASSED FAILED ❑ COMMENTS: UTILITIES: F-1 SEWER TAP F-1 SEWER El SEPTIC ❑ WATER TAP ❑ REMOTE El WATER SERVICE PASSED FAILED FI PARTIAL El F-1 COMMENTS: ELECTRICAL: FI ROUGH IN F-1 FINAL F PERMANENT SERVICE F -I TEMPORARY SERVICEF-1 PRECONNECT PASSED FAILED 0 PARTIAL F-1 F-1 COMMENTS: MECHANICAL:Fl ROUGH -IN F-1 A/C 0 FURNACE Ll RADIANT HEAT F1 FINAL El PARTIAL PASSED FAILED F-1 F-1 COMMENTS: PLUMBING: F GROUNDWORK F1 ROUGH -IN El FINAL ❑ WATER METER INSTALLED ❑ PARTIAL IA PASSED FAILED F-1 PRESSURE TEST El El COMMENTS: F-1 OCCUPANCY GRANTED F-1 CONDITIONAL OCCUPANCY GRANTED INSPECTOR DATE OF INSPECTION MADE: TIME - FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BY AXED OPPD\BURT REA DATE OF INSPECTION MADE: o �- 0/- 657,( ) TO CONNECT SERVICE: ON B BUILDING INSPECTION REPORT OF BLAIR Fl WASHINGTON COUNTY ❑ OTHER LOCATION OF INSPECTION• NAME OF OWNER. J'. I j CONTRACTORS DATE INSPECTION REQUESTEDL, TIME INSPECTION REQUESTED. 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TYPE OF INSPECTION REQUESTED: E] CONFERENCE El STATUS CHECK BUILDING: ❑ FOOTING ❑ DECK FOOTING E:l FRAMING F] DRYWALL ❑ FINAL El PARTIAL PASSED FAILED F COMMENTS - UTILITIES: F1 SEWER TAP ❑ SEWER [:1 SEPTIC F -I WATER TAP F-1 REMOTE [_1 WATER SERVICE PASSED FAILED [I PARTIAL 1-1 1-1 COMMENTS: ELECTRICAL: F -I ROUGH iNFI FINAL D PERMANENT SERVICE [:1 TEMPORARY SERVICE F] PRECONNECT PASSED FAILED F] PARTIAL F] ❑ COMMENTS: MECHANICAL:❑ ROUGH -IN F] A/c F-1 FURNACE 0 RADIANT HEAT F1 FINAL El PARTIAL PASSED FAILED F] El COMMENTS: PLUMBING: F] GROUNDWORK F -I ROUGH -IN F1 FINAL El WATER METER INSTALLED El PARTIAL PASSED FAILED F -I PRESSURE TEST El El COMMENTS: F -I OCCUPANCY GRANTED El CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: INSPECTOR- E -DATE OF INSPECTION MADE: 3_1 -10 TIME it '3 0 A yl FAXED OPPD\BURT REA TO CONNECT SERVICE: ON BUILDING INSPECTION REPORT "r7ff AIR El WASHINGTON COUNTY ❑ OTHER_���� LOCATION OF INSPECTION- NAME OF OWNER- A/ V DATE INSPECTION REQUESTED: .•w'),ill tvt PERMIT NO- TIME INSPECTION REQUESTED. 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NAME OF OWNER f CONTRACTOR' -A d_ DATE INSPECTION REQUESTED. 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