EL-2011-00095.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
UIlC�IIIg @PtYllt @p01"t (402)426- 4191 - Phone
(402) 426 -4195 - FAX
EL -2011 00095 A1O �ISe Of Q www.blairnebraska.org
1 NINE,
Issued: 03 /30/2011 Completed: 04/06/2011 Electrical Permit Valuation: 0.00
r
r PROPERTYADDRESS: 12359 Irma Ave, Blair, NE 68008
�I Vin; Section Township Range GENERAL
Lot Block Dick's Electric
CONTRACTOR:
i Subdivision PO Box 632
OWNER:
Dale Wier Blair, NE 68008
12359 Irma Ave
�r Blair, NE 68008 402 - 426 -4616
t
r.
x�
Nature of Work: Misc. Permit Permit Fees: 50.00
Project Name: 12359irmaAve- 110330 - Electrical Deposit Status: N/A
Description of Work:
125 amp disconnect. Deposit Refund To: NA
Deposit Receipt #: NA
i
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
9 EL -PSRV Pass 4/6/2011 4/5/2011 krobinso
9 EL -FINAL Y Pass 4/6/2011 4/5/2011 krobinso
i
I
I
43k757,ldb �[ �� PROFFSSl0NALF0R4i JNC. t -SW- 537.024E
m BUILDING INSPECTION REPORT
° �PI'Y OF BLAIR [] WASHINGTON COUNTY ❑ OTHE /
,OCATION OF INSPECTION �^ ! Gt !71/..0 ° "4-�
o LAME OF OWNE & .AnA 1 7 W 67XAn CONTRAM 7"�1 Ci
z
DATE INSPECTION
q 5
REQUESTED r ! t TIME INSPECTION REQUESTED• ' 3� � � ' PERMIT NO
T'YPEOFINSPECTION REQUESTED ❑ CONFERENCE ❑ STATUS CHECK
BUILDING; ❑ FOOTING ❑ DECKFOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED PAU ED
❑.. ❑
COMMENTS:
UTILITIES: ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE PASSED FAILED
❑ PARTIAL ❑ ❑
COMMENTS:
ELECTRICAL: ❑ ROUGH IN ❑ FINAL jjeERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT P S FAILED
❑ PARTI f��Q 1 El AL /� 1 �P /�� / �Cl. /
COMMENTS:
MECHANICAL;❑ ROUGH -IN ❑ MC ❑ FURNACE ❑ RADIANTHEAT ❑ FINAL ❑ PARTIAL PASSED FAILED
❑ El-
COMMENTS:
PLI)MBING: ❑ GROUNDWORK ❑ ROUGWIN ❑ FINAL ❑ WATER METERINSTALLED ❑ PARTIAL PASSED FAILED
❑ PRESSURE TEST ❑ ❑
�. ,`OMMENTS:
d ] OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
IOTESIREMARKS
0
J
L�
}
U -
I
N
m
NSPECTO - T' DATE OF NSPECI'ION MADE: ® T1 ` 7
0
N
AXED OPPDIBURT REA TO CONNECT SERVICE: ON BY
0
m
i
i'