1114 Washington StPermit to Move Building or Demolish Structure
Fee Paid: $15.00 Date:
Name:
Address: 7
Owner
City of Blair, Nebraska, to be finally located on
Name:
Address:
The above described person is hereby granted a permit to (Move) o
building feet long, and feet high, now located on
(Demolition) is to be done on and shall take
numbers of the streets, alleys, or public grounds to be crossed):
City Clerk
City Administrator
Contractor
Demolish);a
. The (Move) or
hours. The
route to be taken in the removal thereof is as follows: (Here designate the names and
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 OF BLAIR ❑ WASHINGTON COUNTY
LOCATION OF INSPECTION:
NAME OF OWNER:
DATE INSPECTION REQUESTED
TYPE OF INSPECTION REQUESTED:
BUILDING:
COMMENTS:
UTILITIES:
COMMENTS:
ELECTRICAL:
COMMENTS:
COMMENTS:
PLUMBING:
COMMENTS:
NOTES/REMARKS:
FAXED OPPD\BURT REA
BUILDING INSPECTION REPORT
❑ OTHER
CONTRACTOR
TIME INSPECTION REQUESTED:
❑ CONFERENCE ❑ STATUS CHECK
❑ FOOTING ❑ DECK FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL ❑ PARTIAL PASSED FAILED
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP ❑ REMOTE ❑ WATER SERVICE
❑ PARTIAL
❑ R OUGH IN ❑ FINAL ❑PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑ PRECONNECT
❑ P ARTIAL
❑ OCCUPANCY GRANTED ❑ CONDITIONAL OCCUPANCY GRANTED
MECHANICAL: ❑ ROUGH -IN ❑ A/C ❑ FURNACE ❑ RADIANT HEAT ❑ FINAL ❑ PARTIAL
❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL ❑ WATER METER INSTALLED ❑ PARTIAL
TO CONNECT SERVICE: ON
f
DATE OF INSPECTION MADE:
PERMIT NO
BY
❑ ❑
PASSED FAILED
TIME:
PASSED FAILED
❑ ❑
PASSED FAILED
PASSED FAILED
❑ ❑
Date Created
11/19/2002
Statement :2002- 0043267RP Land Value :
Parcel # 890043267 GB Loss
Mortgage #: Imp Value
Owners ID : 18496 Outbldgs .
District 208 Total Value:
Tax Rate 1.887934 HS Amount .
UU Tax Cr : 0.00 Taxable
WANG, BEN -SHIN
1114 WASHINGTON ST
BLAIR, NE
Map # : BC - - - 32- 1 Tax Paid 1,750.58
Legal : BC LOTS 1 -7 E1 /2 LOT 8 LESS 1859.65 SQ FT Tax Due 0.00
Situs : 1114 WASHINGTON ST BLA Int Due 0.00
Notes Total Due 0.00
Page 1 of 3
890043267 2002 / 2002 WANG, BEN -SHIN
Mortgage Information 2 Statmnt Date /Seq #: 11/19/2002 6605
Loan Number Tax Sale # /Date .
Delinquent Report :
Bankruptcy #
Foreclosure Date
PA &T Class Codes : 01 03 03 01 04 04
Tax Sale Certificate Data
Certificate #
Puchasers ID #
•
Date Purchased .
Certificate Type :
Maturity Date .
Principle
Receipt #
2002 - 0004781
2002 - 0015159
890043267 2002 / 2002 WANG, BEN -SHIN
Change Date Change Code
890043267 REAL
WASHINGTON COUNTY TREASURER'S OFFICE
TAX STATEMENT FILE
Code Pay Date Tax Payment Interest Drainage Total Pay
1 04/18/2003 875.29 0.00 875.29
2 08/25/2003 875.29 0.00 875.29
Prev Value
TIF TD
SID PRINCIPAL Interest Due PENALTY
68008 -1730
40,350 Roll Year
Source
52,375 Gross Tax
0 Greenbelt
92,725 Homestead .
0 Tax Credit :
92,725 Taxes Due .
Drainage
Penalty Tax:
Cert Fees .
Advertising:
Total Due .
Filing Fees
Interest Due
Total Amount
Redemption Date
Redemption #
Redeemption Amount :
Ad Due
SID Total :
Last Update
11/19/2002
2002/2002
REAL
1,750.58
0.00
0.00
0.00
1,750.58
0.00
Page 2 of 3
Total Due S
Page 3 of 3
0.00
0.00
1,750.58
New Value Value Change Tax Change
0.00
Page: 1 Document Name: untitled
CANC ADJUST - UW - CLAIMS
PPM12800 PROP+ CURRENT POLICY REVIEW 1 PPP12800
POLICY 26 32 92 - 01- 69- PHGS -NE AGT /DST 543 272 EFF 01/12/2001 X -DATE 01/13/2001
INSD WANG, BEN SHIN & LUH HSIANG NTC CBS STAT DEAD ENT 11/08/2000
PREV POL NB EFF 11/01/95 INCEPTION 11/01/95 CONT COV 01/13/98
AMPLAN RENEWAL 12/23/99 OUT FORCE 01/12/01 COV CHG 01/13/98
BILL 002 - 107 -818 86 CANCEL CD 36 AGT TRANS ROOF ASPHALT SHINGLE HR
ZONE 01 TOWN CLASS 5 BILL TO CBS CSL SENT 12/17/99 CONVERSION
CONST FRAME REGULAR BILL ACCT TYPE P ## FAM /UNITS 1 FWALL UNITS
DED 250 YEAR BUILT 1952 RENEWAL TOWN CLASS RENEWAL EQ DED
REPL COST 87,500 4 END INFO CUR PREM W/H DED INDEX 524
COVERAGES LIMITS OPT02
RATE MANL
A -REAL PROP 116,900 REQ
OPT14 CHECK REQ Y
B -PERS PROP 93,600 454
LIABILITY 300,000 466 5000 OCCUPCY
MEDICAL 1,000
BASIC PREMIUM 512.00 $250 THEFT DED
CLAIM SURCHG IGR POLICY REVIEW 2
CITY FIRE SUR TOTAL PREMIUM 512.00
COUNTRYSIDE HOMETOWN REINSURANCE SEAS /SECOND SUPP COV
REF TPI Y END Y SP BILL UW QUES CLUE CBR CLAIMS UW SURVEY CM Y
RTE OUTPUT OPT POL EFF
Enter-PF1---PF2---PF3---PF4---PFS---
HELP RETRN CMNTS PREMS REF P2 DATE+ DATE- MENU
Date: 12/4/2003 Time: 2:54:59 PM