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1380l.tif i I j LAI TY 0' Se of Home -One Roofing October 16, 2014 640 Bailey Cir PAPILLION NE 68046 Permit Number: MS- 2014 -01380 Roof, gutters Permit Address: 538 N 19th St j Dear Contractor, 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. Thank you in advance for your cooperation in this matter. Sincerely, i 6AU4 Phil Green Assistant City Administrator j MALHOUSI 10 011MI"M 218 South 16th Street • Blair, Nebraska 68008 s 402 -426 -4191 • Fax 402- 426 -4195 e E -mail cltyofblalr @ci.blalr,ne,us