ExteriorSo Registration 2015.tif ,.. CITY OF BLAIR FOR OFFICE USE ONLY
218 S 16TH STREET -
BLAIR, NE 68008 Date Paid:- l
t Recei t No: 517 - Gil
(402) 426 - 4191 Date Issued:
FAX(402)426 -4195 BOND EXPIRES
Email: cityofblair@ci.blair.ne.us i
CONTRACTOR REGISTRATION / LICENSE RENEWAL _
Please verify and correct 1
the company /business j
Exterior Solutions information listed here.
5708 Willit St ITr
Omaha, NE 68192
Phone numbers on record: j
Type: Phone NumbeE: Type: Ph one Number:
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Office 402-932-?,p f
Mobile 402 - 612 -16
Email Address: j At
Type of Business: GE ERAL
Please submit new certificates or bond renewals for those which have expired: i to
Name Certificate of Liability or Bond Expires r
Ramm, Steve General Certificate of Liability 6/20/2015
Place a check in the box next to the licenses you wish to renew:
Renew? Name License / Registration Expires Amount
-� Steve Ramm General Contractor 12/31/2014 $60
r
Please list any additional license or registrations:
Name License / Registration Amount
CURRENT NEBRASKA DEPARTMENT O F
LABOR REGISTRATION
All information contained in this application is true and correct. I will notify the City of Blair of any changes in the
information reported on or with this application form within 15 days of change.
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I hereby make application to the Licensing Board of Blair, Nebraska and certify that I am competent and experienced to
engage in above said vocation. I agree to conform strictly to the Ordinances of the City of Blair, Nebraska relative to said
vocation;and obey all order, requirements and regulations of its lawful constituted authorities.
Authorized Signature Date
c✓'�
} � � 645
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4WN:B Department of Labor
Labor Law / Contractor Registration
1 A 550 South 16th Street, 3rd Floor
D EPARTMENT OF L ABOR Lincoln, NE 68508 �
(402) 471 - 2239
Registered Contractors and Subcontractors Locator
Contractor /Subcontractor Name: EXTERIOR SOLUTIONS
Address: 6624 Blondo St Ste. A
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City: OMAHA
State: NE
Zip: 68104
Telephone: (402) 932 - 9936
Certificate Number: 26736
Certificate Expiration: 04/15/2015
Contractor Option: 2
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