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OmahaD Registration 2024CITY OF BLAIR 218 S 16"' Street Blair, NE 68008 (402) 426-4191 Fax (402) 426-4195 Email: building@blairnebraslca.org FOR OFFICE USE ONLY Date Paid: Receipt No: t Check # or CC:� Amount Paid: 1 0?1 CONTRACTOR REGISTRATION / LICENSE RENEWAL OMAHA DOOR & WINDOW CO INC 4665 G ST OMAHA NE 68117 Type of Business: CONTRACTOR LICENSE fnnfartinfnrm"tin" nn reenrd. Please verify and correct the company / business Information listed here: Type: Phone Number: Type: Phone Number: Work 402 733-6440 Fax Cell 402 590-2847 Email Address: TOM OMAHADOOR.COM Please submit a current reciprocatil b license for those which will or have expired - Name: I Reciprocating License: PIonvo V11A ;t MOW r19Ytif11-ntPQ ni^ hn"d rPNPwnl.v mid N/ II /T. /nr thn.Cp which Will or have exliireLl.- Name: Certificate of Liability or Bond: _ F.,xpires_ _ OMAHA DOOR & WINDOW CO GENERAL 2/01/2024 OMAHA DOOR & WINDOW CO NDOL 8/29/2023 Pln,-a n nhPnlr in the hnx'npw to the lirP"cP.c`vrnj wi.vh to rpnpw Renew? Name: License / Registration: Expires: Amount: ❑ OMAHA DOOR & WINDOW CO INC CONTRACTOR LICENSE 1/01/2024 60.00 ray finis amount: 60.00 Please list an additional licenses or �e - tNations: Name: License / RPoictr�F; ,. I hereby make an application to the Licensing Board of Blair, Nebraska and certify that I am com etent an experienced to engage in the above said vocation. P d I agree to conform strictly to the Ordinances of the City of Blair, Nebraska relative to said vocation and ob orders, requirements, and regulations of its lawful constituted authorities. eY all I also certify that all information contained in this application is true and correct. I will notify the Cityof Blair of any changes in the information reported on or with this application form within 15 days of any chae i g Authorized Signature Date 12/19/23, 9:11 AM Official Nebraska Department of Labor - Contractor Registration - Contractor Details Contractor eails Contractor/Subcontractor Name Omaha Door and Window Company, Inc. Corporation Name Business Entity Address City State Zip Telephone Registration Number Registration Expiration Sales Tax Option Number of Employees Worker's Compensation Status Omaha Door and Window Company, Inc. S-Corporation 4665 G St, Omaha, NE 68117 Omaha, NE 68117 Omaha NE 68117 (402)590-2847 75719-23 8/29/2024 3 94 Certificate on File https://dol.nebraska.gov/conreg/Contractor/Details/7571923 1 /1