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Monster Registration 2023CITY OF BLAIR 218 S 16"' 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: q BOND EXPIRES: CONTRACTOR REGISTRATION / LICENSE RENEWAL MONSTER ELECTRIC INC 5810 S 92ND CIR OMAHA NE 68127 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)990-5356 Fax Cell 402 990-5356 Email Address: MONSTERELECTRICI GMAIL.COM Please submit a current reciprocating license for those which will or^ have expired: Name: Reciprocating License: Expires: ANTHIS MONTE NE STATE ELEC 12/31/2022 Please submit new certificates or bond renewals and NDOL for those which will or have expired; Name: Certificate of Liability or Bond: Expires: ' ANTHIS MONTE ELECTRICAL 03/29/2023 MONSTER ELECTRIC INC NDOL 12/15/2022 MONSTER ELECTRIC INC GENERAL 09/29/2022 Place a check in the box next to the licenses you wish to renew: Renew? Name: License / Registration: Expires: Amount: ANTHIS MONTE MASTER ELECTRICIAN 1/01/2023 60.00 MONSTER ELECTRIC INC CONTRACTOR LICENSE 1/01/2023 60.00 w Contractor Details Contractor/Subcontractor Name Monster Electric Inc. Corporation Name Business Entity S-Corporation Address 5510 S, 92nd Cir Omaha, NE 65127 City Omaha State NE Zip 68127 Telephone (402) 990-5356 Registration Number 31699-22 Registration Expiration 12/15/2023 Sales Tax Option 2 Number of Employees I Worker's Compensation Status Cerlificate on File (does not cover owners/corporate officials) h4ttx�t:/d�rl.nchrwrtk..yo��frunreselff'unrr:3eiurff)et,'eII�,�:S if !)9;t2 I JJ7a3f I2, w"!7 AM llof) o I 1A I