1224 Grant StPermit to Move Building or Demolish Structure
Fee Paid: $15.00 Date: A l
Owner
Name: �() UAi.s ' \ ,
Address: k 2..\ CD
The above described person is hereby granted a permit to (Move) oikDemolish) a
building feet long, and feet high, now located on 12.:2 A 6 rcjA+' ,
City of Blair, Nebraska, to be finally located on
(07/0q
(Demolition)is to be done on ( C) and shall take
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.
it, -. 1
Contractor
Name: A
Address:
/6 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
4i) /6, 2
the moving or demolishing of such building was received on
Cie
i Clerk
City Administrator
. The (Move) or
hours. The
0 CITY OF BLAIR
LOCATION OF INSPECTION
NAME OF OWNER •
COMMENTS:
COMMENTS:
NOTES/REMARKS
FAXED OPPD \BURT REA
BUILDING INSPECTION REPORT
E WASHINGTON COUNTY OTHFR
CONTRACTOR'
DATE INSPECTION REQUESTFD TIME INSPECTION REQUESTED
. - -
MECHANICAL: 0 ROUGH-IN LII A/C E FURNACE 0 RADIANT HEAT E FINAL 0 PARTIAL
PLUMBING: E GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED PARTIAL
PRESSURE TEST
E OCCUPANCY GRANTED E CONDITIONAL OCCUPANCY GRANTED
INSPECTOR • ' - DATE OF INSPECTION MADR• -
TO CONNECT SERVICE: ON BY
PERMIT NO
TYPE OF INSPECTION REQUESTED: E CONFERENCE E] STATUS CHECK
BUILDING: 0 FOOTING DECK FOOTING FRAMING 0 DRYWALL FINAL 0 PARTIAL PASSED FAILED
COMMENTS:
UTILITIES: III SEWER TAP 0 SEWER E SEPTIC Ej WATER TAP E REMOTE 0 WATER SERVICE PASSED FAILED
El PARTIAL LII . 0
COMMENTS:
ELECTRICAL: 0 ROUGH IN n FINAL LI PERMANENT SERVICE 0 TEMPORARY SERVICE El PRECONNECT PASSED FAILED
0 PARTIAL
COMMENTS:
PASSED FAILED
0 LI
PASSED FAILED
MISCELLANEOUS RECEIPT
COUNTY TREASURER'S OFFICE
WASHINGTON COUNTY NEBRASKA
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April 16, 2004
RECEIVED OF COUNTRY TIRE - ROGER HOWLAND
the sum of Five Hundred Ninety -Two Dollars
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No. 308708
And Thirty Cents
collected by MERRI
for 2004 TAXES PD ON 2003 BOOK & LEVY FOR HOUSE ONLY ON
PARCEL #890044772
Credits To:
9502 PARTIAL PAYMENT 47601 $592.30
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592.30
Kay Erwin
County Treasurer
MERRI
Deputy
LEGAL
PROPERTY
DESCRIPTION
LOAN PAYMENT CODE:
INITIALS KAY
�-
WASHINGTON COUNTY
BLAIR, NEBRASKA
RECEIPT NUMBER
2003-0004823
BC LOT 19 & 4.110' LOT 20 BLK
112 PC 11
COUNTRY TIRE, INC
1210 GRANT ST
BLAIR, NE 68008-0000
|
^- PAID BY COUNTRY TIRE, INC
comMENI
TAXING DISTRICT
208
KAY ERVVN
County Treasurer
TAX RECEIPT TAX YEAR 20 03
890044772 DATE orpAYMsw04/1
TAX RATE VALUE DRAINAGE TYPE OF TAX
1. 968064 44, 795 1 0 00 | RE
53
TAXES DUE
DELINQUENT
1st HALF
2nd HALF
12/31/2003
05/
09/0
PAYMENT RECEIVED
I 1st HALF 2nd HALF FULL
X
TAX BEFORE CREDITS
HOMESTEAD VALUE
HOMESTEAD CREDIT
LATE FILING FEE
INSTALLMENT
881.60
INTEREST
ADVERTISING
METHOD OF PAYMENT:
CASH
881.60
0.00
0.00
TOTAL TAX DUE
881.60
0.00
0.@0
TOTAL COLLECTED 881.60
CHECW
g ■--e) -( 7z-/ TAXPAYER'S COPY
Hansen A n
e c
g YInc �
1636 Washington, P.O. Box 465
Blair, NE 68008 -0465
Phone: 402 -426 -2167 Fax: 402 -426 -2157
City of Blair
City Hall
Blair, NE 68008
Sincerely,
HANSEN AGENCY, INC.
AL,0
Richard F. Hansen, CPCU, AAI
RFH /jjw
MEMO Pagel
CTIRE -1 JW 04/16/2004
Property Ins.
PCKG 01/01/2004 01/01/2005
Please be advised that all building insurance on the dwelling located
1224 Grant Street, Blair was removed effective April 14, 2004. There is
no longer any insurance on this sturcture as of the date shown above.