1667 Grant St
Permit to Move Building or Demolish Structure
Fee: Paid:
~ 50.00
Date: '11/ Lf (6 ~
Owner
Contractor
Name: ~(<:;+ Ut\1 kd Ae~hoc1\s+ Name: I.lct:f'\kf'\ l(€f\ChCfl9_
Address: I ~ (p '7 &-r o...ryJ- S-HLec:+, Address: j 30 q L U~. ~ Ii 3()
1310 I r ~t Co:?60$-'"]3/ o( r 10& b ~0,oy
The above described person is hereby granted a permit to (Move) ~::::p a
building 2.s-k1{111~ long, and feet high, now ""l<mate~ on
ley\- (p c N 10 I I crt 5 ~. ~ (if , City of Blair, Nebn~ska;""'"io'-]2~~ally located on
I{il( "led.- ~,,--t . The (Move) or m;;;;Jition) i} to be done on
11/5-- 11/7/2.0:.11' and shall take hours. ~-rG~e taken in the
removal thereof is as follows: (Here designate the names and numbers of the streets,
alleys, or public grounds to be crossed):
lJ) A--"
The removal thereof shall be under the direction of the Street Commissioner and the
Director of Public Works. The building is to be u~ed for ec:::<;.{der'l:i-{a..1 purposes.
-- No \\ +<lxc\.~Le a u{.. ~ \\.V\'\ ocoft+ s-+et-kAs
A statement that al@ and special assessments on theDUlldmg to be moved or
demolished and on the land from which it is to be moved or demolished have been fully
paid was received and is attached. A corporate surety bond or two
(2) personal sureties to pay all damages that may be sustained to any property, public or
private, and including curbs, paving, manholes, public utility lines and pipes, by reason of
the moving or demolishing of such building was received on ~r\'ieI\LVf (\c__h~~
and is attached. C)-aJ',,~ of -V\Su(CU1(.(J
jfyu~ uJnJ~
City Clerk "
City Administrator
Page 1 of 1
Blair First United Methodist Church
From:
To:
Sent:
<HLeDuc@churchmutual.com>
<blairumc@huntel.net>
Tuesday, November 04, 2008 3:25 PM
Hi Tyrrell,
This is to verify that we're removing coverage for the dwelling located at 1667 Grant St, Blair, NE 68008 effective today.
Heather LeDuc
National Customer Service Group
Church Mutual Insurance Company
1-800-554-2642 Option4 Ext5773 Fax:715-539-2938
11/5/2008
,42D51Jdb . i PROFESSIONAL FORMS, INC. 1-800-537-0245
~_.~-~- - -.-. ..-
BUILDING INSPECTION REPORT
K'CITY OF BLAIR 0 WASHINGTON COUNTY /l 0 OTHER
LOCATIONOFINSPEkTON / & & 'I \.::;JA:>>,.f. Sf.
. {J~d '7tJ. C '7tJcWt L/
NAME OF OWNER /10'- F-Uof CONTRACTOR' /7.J41~
DATE INSPECTION REQUESTED' I t? - c? tJ -08 TIME INSPECTION REQUESTED' /dl. SC::P ffJ. PERMIT NO'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
COMMENTS:
UTILITIES:
PASSED FAILED
o 0
COMMENTS:
o SEWER TAP 0 SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL ~ C~ Wa:bv ,i \JjW~
p~.S D FAILED
/ 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN 0 FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
MECHANICAL:D ROUGH-IN 0 NC 0 FURNACE 0 RADIANTHEAT 0 FINAL 0 PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATERMETERINSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTESIREMARKS'
JNSPECTOJ M~OPJNSPECTIONMADE /0 ~~'1ME / 01 rS~
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
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