Eyman Registration 2015.tif CITY OF BLAIR FOR OFFICE USE ONLY I
218 S 16TH STREET
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BLAIR NE 68008
Date Paid. —
t � Receipt No: c — �
(402) 426 - 4191
Date Issued:
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FAX(402)426 -4195
BOND EXPIRES*
- - - , Email: cityofblair@ci.blair.ne
a� .us
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CONTRACTOR REGISTRATION /LICENSE RENEWAL
Please verify and correct
P lease the company /business
Eyman Plumbing Inc. curmnt C ity of B e l lev ue information listed here:
8506 S 117th St
LaVista, NE 68128 —
Phone numbers on record: Type: Phone Number:
Type: Phone Number:
Office 7312727
Mobile Fax: 7314538 PLEASE SUBMIT A COP O F Y OUR
Email Address: CURRENT CITY OF OMAHA LICENSE
Type of Business: PLUM MECHANICAL
Please submit new reciprocating license for those which have expired: Expires
Reciprocating License p
Name 12/31/2014
Eyman, Tom Omaha Plumber License
12/31/2014
Rybin, Jay
Bellevue Mechanical License
Please submit new certificates or bond renewals for those which have expir
ires
Certificate of Liability or Bond p
Name 12/31/2050
Eyman, Tom Plumber Bond
Mechanical Bond
11/12/2015
Rybin, Jay
Place a check in the box next to the licenses you wish to renew: Expires Amount
Renew? Name License / Registration
Eyma Tom Plumbing Contractor
12/31/2014 $60
V 01 Luppen, Tom Journeyman Mechanical
12/31/2014 $25
Rybin, Jay
Mechanical contractor 12/31/2014 $60
Rybin, Jay
Journeyman Mechanical 12/31/2014 $25
P LEASE SUBMIT A COPY OF Y OUR
CURRENT NEBRASKA DEPARTMEN OF
LABOR REGISTRATI
c
t
I
Department f
p t o Labor
46N Labor Law / Contractor Registration
E B R A S KA 550 South 16th Street, 3rd Floor
DEPARTMENT OF LABOR Lincoln, NE 68508
www.dol.nebraska.gov (402) 471 - 2239
i
Registered Contractors and Subcontractors Locator
Contractor /Subcontractor Name: EYMAN PLUMBING, INC.
Address: 8506 S. 117TH STREET
City: LAVISTA
State: NE
Zip: 68128
Telephone: (402) 731 - 2727
Certificate Number: 21387
Certificate Expiration: 09/15/2015
Contractor Option: 1
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