DM-2012-00296_0002.tif i
I
i
City of Blair Due Invoice
218 S 16th Street Page of 1
Blair, NB 68008
DATE 7/25/2012
° Use o , a° Phone: (402) 426-4191 j
Fax; (402) 426 -4195
ACCOUNT:
SELF
PERMIT NUMBER DM- 2012 -00296
Blair NE 68008
352 S 11th St '
Phone: BC LOT '14 BILK 82114 PC 18
Blair, NB 68008
Date ReferenceNumber InvoiceNumber FeeCat Description Status Amount j
I
7/25/2012 DM -2012 -00296 2012.01033 0100042024 Demolition/ Moving Permit Fee Due 50.00
Total Due 50.
I
'
i
I hereby certify that I have read and examined this application and know the same to be true and correct. All
revisions of laws.
Signature o Contractor or Authorized Agent
I
i
Save Time & Money with Online Permits and Inspections. Go To: www.buildingdepartment.com
i