NO CHECKOFF-00650_0001.tif i
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CITY U" F BLM'Q
of a
Ambassador Home Improvement August 26, 2014
19688 Birdsley Rd
COUNCIL BLUFFS IA 51503
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Permit Number: MS- 2014 - 00650
Remove and replace asphalt shingles and replace siding and windows.
Permit Address: 3080 Westridge Dr
DearContractor,
The Roofing Inspection for the above referenced permit has passed inspection, but
no Roofing Checkoff Sheet has been turned in for this permit. A signed Roofing
Checkoff Sheet is required as certification that all work was performed , in
accordance with the 2009 Building Code.
A blank Roofing Checkoff Sheet is enclosed for your convenience. Please complete
the form immediately and return it by email (stormdamage @ci.blair.ne.us), by fax
(402.426.4195) or by mail (218 S 16th St, Blair, NE, 68008).
If you do not return a completed Roofing Checkoff Sheet within 60 days of the date
of this notice, you will forfeit the $50.00 deposit associated with this permit and we
will turn this issue over to the City of Blair Licensing Board and City Attorney to
consider suspending your contractor registration.
If you have questions about the Roofing Checkoff Sheet, please call the Blair
Building Department at 402.426.4191.
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Thankyou in advance for your cooperation in this matter.
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Sincerely,
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Phil Green
Assistant City Administrator
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218 South 16th Street -Blair, Nebraska 68008 • 402 -426 -4191 -Fox 402 - 426 -4195 E -mail clfyofblalr@cl,bla1rne.us
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