1977 South St
Permit to Move Building or Demolish Structure
Fee Paid:
$15.00
Date:
Address:
\
I J\~'ttezSS:
Name:
The above described person is hereby granted a permit to (Move) or (Demolish) a
building
feet long, and _feet high, now located on
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
City Administrator
[3 CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
NAME OF OWNER:
CONTRACTOR:
DATE INSPECTION REQUESTED:
TIME INSPECTION REQUESTED:
PERMIT NO:
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
UTILITIES:
o SEWER TAP D'SEWER n SEPTIC n WATER TAP 0 REMOTE 0 WATER SERVICE
o PARTIAL
o STATUS CHECK
PASSED FAILED
0 0
FAILED
0
PASSED FAILED
0 0
PASSED FAILED
0 0
PASSED FAILED
0 0
COMMENTS:
COMMENTS:
ELECTRICAL: 0 ROUGH IN
o PARTIAL
o PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
COMMENTS:
MECHANICAL: 0 ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT o FINAL
PARTIAL
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS:
INSPECTOR:
FAXED OPPD\BURTREA
TO CONNECT SERVICE: ON
BY
CITY OF BLAIR
o WASHINGTON COUNTY
o OTHER
NAME OF OWNER:
CONTRACTOR:
PERMIT NO:
DATE INSPECTION REQUESTED:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL 0 FINAL 0 PARTIAL
o STATUS CHECK
PASSED FAILED
o 0
COMMENTS:
UTILITIES:
COMMENTS:
~EWER TAP 0 SEWER 0 SEPTIC fGJ'WATER TAP 0 REMOTE 0 WATER SERVICE
Y PARTIAL
P,?' FA~ED
ELECTRICAL: 0 ROUGH IN 0 FINAL o PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL: 0 ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT o FINAL o PARTIAL
PASSED FAILED
o 0
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED
PARTIAL
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED
aJ/(OJ
INSPECT~
~ ~~ '9S)U
DATE OF INSPECTION MADE: , .fj~;?{) lME: 1/, C .
/ /
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
MEMO
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THOMPSON AGENCY
Date: March 20, 2003
To: Karen Fischer - Le Mars Mutual Ins. Co.
From: H, Dan Thompson
RE: .Jeffrey Christiansen and Bart Moore DP093573
Dear Karen:
Effective 3-20-03 please delete the dwelling located at 1977 South Street, Blair, NE.
Thank you.
Sincerely,
HOWARD D. THOMPSON AGENCY
~
~
H. Dan Thompson
H. Dan Thompson