Fillable HOUSE MOVER NOTIFICATION FORM (City of Norfolk Nebraska)

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HOUSE MOVER NOTIFICATION FORM (City of Norfolk Nebraska)

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U.S.A. forms for City of Norfolk Nebraska

BROWSE CITY OF NORFOLK NEBRASKA (NE) FORMS

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innovation. right at home.
Norfolk Fire Division
Prevention Bureau
701 Koenigstein Avenue
Norfolk, NE 68701
P402-844-2060 F402-844-2069
www.ci.norfolk.ne.us
HOUSE MOVER NOTIFICATION FORM
Name & Phone # of House Mover ______________________________________
_______________________________________________________________
1. Legal description of the building proposed to be moved (street number,
dimensions, construction material, number of rooms and condition of exterior
and interior). ___________________________________________________
_______________________________________________________________
2. Moving from (address, Lot number, Block, and tract if in City) ____________
_______________________________________________________________
3. Moving to (address and legal description of Lot, Block, and Tract and portion
of Lot to be occupied if located in City) _______________________________
_______________________________________________________________
4. Proposed moving date and hours ____________________________________
5. Proposed routing, height and weight when loaded _______________________
_______________________________________________________________
6. Owner of house __________________________________________________
7. Address & phone # of owner _______________________________________
________________________________________________________________
8. Signature of contractor __________________ Date __________________
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Rev 08-2015
Planning & Development
Building Services
309 North 5th Street
innovation. right at home.
Norfolk Fire Division
Prevention Bureau
701 Koenigstein Avenue
Norfolk, NE 68701
P402-844-2060 F402-844-2069
www.ci.norfolk.ne.us
APPROVED DATE
CenturyLink, 921 S. 9
th
St
Phone - (402) 644-3554
Fax – (402) 371-3581 ______________________________ ____________
NPPD, 720 W. Madison Ave
Phone - 877-275-6773
Fax – (402) 644-3303 ______________________________ ____________
CableOne, 100 N. Victory Rd
Phone - (402) 379-2330
Fax – (402) 379-4224 ______________________________ ____________
Street Division, 1010 S. 8
th
St
Phone - (402) 844-2180
Fax – (402) 644-8719 ______________________________ ____________
Fire Division, 701 Koenigstein Ave
Phone - (402) 844-2050
Fax – (402) 644-8748 ______________________________ ____________
Police Division, 202 N. 7
th
St
Phone - (402) 644-8700
Fax – (402) 844-2160 ______________________________ ____________
Water Division, 300 S. 49
th
St
Phone - (402) 844-2210
Fax – (402) 644-2588 ______________________________ ____________
Disconnect Notes by Water Division: ___________________________________
_________________________________________________________________
Rev 08-2015
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HOUSE MOVER NOTIFICATION FORM (City of Norfolk Nebraska)

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Completed 10 November 2021

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