Luxa Registration 2023CITY OF BLAIR
218 S 161h Street
Blair, NE 68008
(402) 426-4191
Fax (402) 426-4195
Email: building@blairnebraska.org
FOR OFFICE USE ONLY
Date Paid:
Receipt No:
Date Issues:
BOND EXPIRES:
CONTRACTOR REGISTRATION / LICENSE RENEWAL
LUXA CONSTRUCTION COMPANY INC
P O BOX 105
BLAIR NE 68008
Type of Business: CONTRACTOR LICENSE
Contact information on record:
Please verify and correct the
company / business
Information listed here:
Type:
Phone Number:
Type:
Phone Number: ±
Work
402 426-2778
Fax
Cell
402 510-8200
Email Address:
Please submit a current reciprocating license or^ those which will or• have expired:
Name: Reciprocating License: Expires:
Plen,re .vuhmit new certifrcnte.c or hnnd renewals and ArDOL for those which will or• have exnired..-
Name:
Certificate of Liability or Bond:
Expires:
LUXA CONSTRUCTION
GENERAL
8/01/2023
LUXA CONSTRUCTION
NDOL
10/01/2022
Plnce n check in the hox next to the licenses you wish to renew.,
Renew?
Name:
License / Registration:
Expires:
Amount:
LUXA CONSTRUCTION COMPANY INC
CONTRACTOR LICENSE
1/01/2023
60.00
Pay this amount: 60.00
Please list any additional licenses or registrations.,
istr°ations:
Name: I License / Re istration: Amount:
I hereby make application to the Licensing Board of Blair, Nebraska and certify that I am competent and
experienced to engage in the above said vocation.
I agree to conform strictly to the Ordinances of the City of Blair, Nebraska relative to said vocation and obey all
orders, requirements and regulations of its lawful constituted authorities.
I also certify that all information contained in this application is true and correct. I will notify the City of Blair
of any changes in the information reported on or with this application form within 15 days of any change.
Ic-21? ae �,
Date
1 /3/23, 2:30 PM
Official Nebraska Department of Labor - Contractor Registration - Contractor Details
Contractor
Details
Contractor/Subcontractor Name
LUXA CONSTRUCTION COMPANY, INCORPORATED
Corporation Name
LUXA CONSTRUCTION COMPANY, INCORPORATED
Business Entity
S-Corporation
Address
PO BOX 105
BLAIR, NE 68008
City
BLAIR
State
NE
Zip
68008
Telephone
(402) 426-2778
Registration Number
22236-22
Registration Expiration
10/1/2023
Sales Tax Option
2
Number of Employees
25
Worker's Compensation Status
Certificate on File
https:Hdol.nebraska.gov/conreg/Contractor/Details/2223622