1213 State StFee Paid: $15.00
Owner
Permit to Move Building or Demolish Structure
p n -
Address: a-.3 7 /tU • /
E
The above described person is hereby granted a permit to (Move) or (Demolish) a
building feet long, and feet high, now located on / J 3
City of Blair, Nebraska, to be finally located on . The (Move) or
(Demolition) is to be done on
and shall take hours. The
route to be taken in the removal thereof is as follows: (Here designate the names and
numbers of the streets, alleys, or public grounds to be crossed):
The removal thereof shall be under the direction of the Street Commissioner and the
Director of Public Works. The building is to be used for purposes.
A statement that all taxes and special assessments on the building 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
and is attached.
City Clerk
Date:
Name:
Address:
City Administrator
f 05
Contractor
CITY OF BLAIR 0 WASHINGTON COUNTY 0 OTHFR
LOCATION OF INSPECTION 1./. - ' : Th --' 7./ 7 '
NAME OF OWNER •
DATE INSPECTION REQUESTED
COMMENTS:
COMMENTS:
MECHANICAL: E ROUGH-IN 0 A/C 0 FURNACE El RADIANT HEAT
COMMENTS:
NOTES/REMARKS:
INSPECTOR
FAXED OPPD \BURT REA
MELDHN' 11N6P ,011 REPORT
CONTRACTOR •
TO CONNECT SERVICE: ON
TIME INSPECTION REQUESTED PERMIT NO
TYPE OF INSPECTION REQUESTED: CONFERENCE 0 STATUS CHECK
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL PASSED FAILED
El LI
UTILITIES: 0 SEWER TAP PAS TT FAILED
0 PARTIAL
SEWER 0 SEPTIC 0 WATER TAP 0 REMOTE 7 WATER SERVICE
ELECTRICAL: 0 ROUGH IN 0 FINAL PERMANENT SERVICE 0 TEMPORARY SERVICE LI PRECONNECT PASSED FAILED
0 PARTIAL
COMMENTS:
0 FINAL 0 PARTIAL
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN LI FINAL 0 WATER METER INSTALLED 0 PARTIAL PASSED FAILED
0 PRESSURE TEST
COMMENTS:
El OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
BY
========
PASSED FAILED
t ATE OF INSPECTION MADE C> TIME 1.4"
Liberty
Mutual,.
April 6, 2005
Dan Veslana
Controller
Concrete Equipment Co.
237 North 13 Street
Blair, NE 68008
RE: 1213 State Street, Blair, NE 68008
Dear Dan:
I wanted to confirm with you that your Liberty Mutual property coverage has been
cancelled on the above address as of 10 -1 -04. We are no longer insuring this property
for building or personal property.
Please contact me if you have any questions or concerns.
Bill r, CP U
Liberty Mutual Insurance
Account Executive
A ~ I V E R 5 A R Y
Helping People Live Safer, More Secure Lives.
T /T'd 802'ON
Liberty Mutual Group
9290 WEST DODGE ROAD r 405
OMAHA, N1 68114
WAITS: (800) 462.0015
PHONE (402) 393.4041
FAX: (402) 392.232 t
3N HHHWO - 1df11f1W Ald39I1 Wd22 : 6 S0172 ' 9 ' eidd }�
WASHINGTON COUNTY TREASURER
P.O. BOX 348 BLAIR, NEBRASKA 68008
PHONE (402)426-6888
FAX (402)426-6880
KAY ERWIN JANICE MILLER
COUNTY TREASURER DEPUTY COUNTY TREASURER
DATE
TO WHOM IT MAY CONCERN:
OUR RECORDS SHOW TAXES ARE PAID FOR THE FOLLOWING
YEAR(S) ON THE SPECIFIED PROPERTY:
YEAR(S) OF TAXES PAID
i;Y:Lzi cei_
DESCRIPTION OF PROPERTY
13/k
2aV 3 ( ( ?q
THANK YOU,
KAY J. ERWIN
(.1,LLLe _SQ-2,
PLEASE CONTACT OUR OFFICE IF FURTHER ASSISTANCE IS
REQUIRED.
LEGAL
PROPERTY
:SORPTION
. - 1
MISCELLANEOUS RECEIPT
COUNTY TREASURER'S OFFICE
WASHINGTON COUNTY NEBRASKA
April 7, 2005
RECEIVED OF CONCRETE EQUIPMENT CO INC
the sum of Six Hundred Sixty -Eight Dollars And Forty -Two Cents
collected by KAY
for 890043099 DESTROYING HOUSE -TAX ON HOUSE ONLY FOR 05
ON 04 BOOK & LEVY CORR. #6132
Credits To:
9502 PARTIAL PAYMENT 47601 $668.42
OAN PAYMENT CODE:
NITIALS I•<OV
WASHINGTON COUNTY
BLAIR, NEBRASKA
RECEIPT NUMBER TAXING DISTRICT
2004-000365E 208
BC LOT 2 BLK 22 114 PC 2
237 N 13TH ST
BLAIR, R, tNll:::: 68008....0171071
KAY ERWIN
County Treasurer
f::; o N c R L T Ei: EQUIPMENT CO INC
PAID BY CONCRETE EQUIPMENT CO INC
890043099
TAX RATE VALUE
TAX RECEIPT
TAXES DUE :L i2 / 3 i 1. / 2004
DELINQUENT
1st HALF IZ15 / Il1 1. 1 iR Ili ILl 5
2nd HALF Ill 9/0 /is' 11715
PAYMENT RECEIVED
1 1st HALF 2nd HALF FULL
X
No. 310345
TAX BEFORE CREDITS
HOMESTEAD VALUE
HOMESTEAD CREDIT
LATE FILING FEE
INSTALLMENT
795
INTEREST
ADVERTISING
TOTAL COLLECTED
METHOD OF PAYMENT:
668.42
Kay Erwin
County Treasurer
KAY
Deputy
TAX YEAR 2004
DATE OF PAYMENTIZILI / ID % / 200
DRAINAGE TYPE OF TAX
IZI 17110 REAL
0 . 0 0
0.00
'fOT L:'AX DU
CASH CHECIf(
TAXPAYER'S COP`