235 & 237 Riverview RdPERMIT TO MOVE BUILDING OR DEMOLISH STRUCTURE
Fee Paid: / / / 3 l3
$15.00 >' � ' Date
Owner:
Name: r(7 r 7 - C e ✓ r �
Address: / 73
The above described person is hereby granted a permit to Move) dr
6
(Demolish) a building feet long, and /i/ feet high,
now located on - n0 , City of Blair, Nebraska, to be
finally located on ,23 1 ,� ^� il% r��l + `� The ove or
s
(Demolition) is to be done on Z2 /( .//
'y �-
c-e)c a hours . The route to be / taken in the removal thereof is as
follows: (Here designate the names and numbers of the streets, alleys,
or public grounds to be tressed) : / /rr A t " d i / //ei
/0 ('; /,;
J
The removal thereof shall be under the direction of the Street Commissioner
and the Director of Public Works. The building is to be used for
P -c 5r��� 1., r . - ' purposes.
A statement that all taxes and special assessments on the building to be
move
or demolished and on the land from which it is to
have been fully paid was received
A corporate surety bond or two personal sureties to pay all damages that
may be sustained to any property, public or private and including curbs,
paving, manholes, public utility lines and pipes, by reason of the moving
or demolishing such building was received on
and is attached.
City Clerk
City Ad3
Contractor:
Name: (1Z% a ,\. /
Address: /A e c � /r' 7� _
J �
and shall take
or demolished
and is attached.
PRODUCER
INSURED
O'Neil Company, Inc.
P. O. Box 1113
Williston, ND 58801
GENERAL UABIUTY
A I CLAIMS MADE X OCCUR.
AUTOMOBILE UABIUTY
X ANY AUTO
ALL OWNED AUTOS
A SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS UABIUTY
A X
3 •
\nV�•>f \ \ \ti:k k��: kk4 !:., �}ihki"!$ff :ri>:kiirf } ; •' <. J' 3. Li: ykiif:' iiyif ':ff >S >fi4ifi::i:Jl:':kkY ii %iii }':': %YY: }':YY'
nx }:;!!q:•}i::M...... ?:.1!4 }ii' Y.:.ff!•}:hv..... ! {f5.fx.. !+! +.: {;::r.:!: }. fi. }Y.:w:{r•:5!r. }Y 3y �: .�� {:. /.:{
. w• r. wa.. wwsr• rwr: w s!s : w:wR: }.,ra:s.a.�•r:.ra.r:: tic• ::r.•.a•.rLk•a.i ! +�..k:: .,
The Maguire Agency
1935 West Co Road B -2, #241
P. O. Box 64316
St. Paul, MN 55164 -0316
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE (MM/DD/YY) DATE (MM /DEWY)
X COMMERCIAL GENERAL LIABILITY
OWNERS & CONTRACTORS PROT
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' UABIUTY
OTHER
A Cargo Coverage
State of Montana
Gross Vehicle Weight Division
Department of Highways
Box 4639
Helena, MT 59604
SAO
DESCRIPTION OF OPERAT1 ONS/LOCATIONSNEHICLES/SPECUU, ITEMS
; 1 [T::V F l:r .'• f f #fi•.•.'•.'.•' t :
6.fi.''f23#if£'ne {}#R. }'}f:' ?,;}.':} 7:isYi'! # : ::0:0,..:h s } !'; 94 . <:': ;.fk:,..^i' <;:'?;:, >.3 ;f•," : ;4:`f y •r`.;: F f. # !!� n 05/04/95
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TEE
POLICIES BELOW.
COMPANY
LETTER
COMPANY
LETTER
COMPANY
LETTER
COMPANY
Lti ILR
C
D
COMPANY E
LETTER
CK06307830 06/01/95 06/01/96
CK06307830 06/01/95 06/01/96
CK06307830 06/01/95 06/01/96
1M06301829. ; :: '_ .' : 06/01/95 06/01/96
COMPANIES AFFORDING COVERAGE
A St. Paul Companies
B
GENERAL AGGREGATE $
PRODUCTS-COMP /OP AGG. S
PERSONAL & ADV. INJURY S
EACH OCCURRENCE $
FIRE DAMAGE (Any one lIre) S
MED. EXPENSE (Any one person) S
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
ISSUE DATE (MM/DD/Y()
OMITS
$
S
$
PROPERTY DAMAGE S
EACH OCCURRENCE t 3,000,000
AGGREGATE $ 3,000,000
'r't:r:<;f?,!kt if :4 #Jf ? +.• {?:: h: L4:k}i:j >{ i:;: i' ::Jf::; +F,.;:ifi:f :i: ,' /,•:, #fk::ii:Gii:i.
. ... .. .. .'•:,}f: ;f::ff:4:#: of : : :i ; : : ;:;## i:.:: # # # #f
........I STATUTORY Lt . .....�. . .................:. • :
EACH ACCIDENT S
DISEASE — POLICY LIMIT I S
DISEASE —EACH EMPLOYEE + $
Special Form - $500 Ded.
$75,000 Any One Item
:CER Y ?; ;f•':`9r. Jaf'/f7 �x'XY.•S+.'•kS ?sr. 4Sr�:^r. r v: :, }: :•t:•Y: :��:Y•.;}r:, •..,. : :......: ....: ::;.
, .�� I� l7 .r .. �, .. •�#o` +'�Y ..... . .. .. ...:i,�n19:!:�.r, • ♦� . > v •.+n. n f: #}::sf�:•f:• }:x:S %}}}::•Y i£::: }7}: t... •. f:R r. .> !:c:..t •:5..: {S }:2t .�S>G`G:uYrc::•:!t•.•.;r, {;:
, kt,� 3'• > ,!t�':: a.:,,o5 w ,s <.y y�.Y .c•}L.0 s.� � S n va�kY.�EI.}�•i�lV Ni:,..�, .... .,,.. }... ; ..; .; <:.`.?$::�::: �: } } :v ; •:::n; ..S'.. )...; »k. ; ..f... r f.� !!! ,!! rfr ,.,,•.,, % {i::?,•:F: # #' +..`•5
•ii6 T 4hCi. Tkd�S.^:-0i kk•}.%{:;.»..:f.!; k4.{:! k• Y.! r,:..+ f. Y.!;!%: Nj. n} l} �f. �l: kiifkki} k!// 7.}/%%%: j,•'.>, l / T % %ii >l % % �• % % / / / / /� %� % : %! i:
r, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
>f:
'LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
'#E LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
: LS ti.�ti .
a` .,.�•: • .Sae. k;a >:ai•:%"3vz`
. ...::! Aft ::.;: Y •.p. .!..:..; I •.:: >:, . ; ... .,.. }5:::;tc'x,; o},k}frri� :x•::y f f r# ,iii'.:'•k'!'t:x:::•:::. ; �! }..;,.,•p.,. �.::.;::::::.,...:.
.........................:..... }:.:............... �....:..: :::.:...`.,:.:. t:,>. k;:; i%; tY, cr::::..,..;,;.:}:•, f }:.::•.:,}f}: :ffz}.:f:k�:'+'•n :...; y...........: }::: •: !.y;::..::>:::.::.; ......
....:,.:::::! � .:............ ............... ....... ............. �: kf; f:: f: f:::::!.:::.«.:::!•:}: � ::::: >,!:!..:!.�: ..AL` > �GO R i?OF; A7t0
1,000,000
1,000,000
1,000,000
1,000,000
50,000
5,000
1,000,000
'Fri may Y d.Ilt. LO 3 p.m.
1: Monday, Tuesday, Wednesday, Thursday, Friday 7 a.m. to 7 p.m.
Saturday 7 a.m. to 12 noon
Ask about our WCB Heritage Club
wa5hington county bank FDIC
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1523 Washington • Blair, Nebraska • 426 -2111
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