Checkoff Letter 01251.tif I
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CITY Of 5LAIQ
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Madsky Roofing & Restoration LLC January 19, 2015
233 S 13th St Ste 1900
LINCOLN NE 68508
Permit Number: MS- 2014 -01251
Roof, ice and water shield
I
Permit Address: 1205 Colfax St
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 foryour cooperation in this matter.
Sincerely,
6AWJ
Phil Green
Assistant City Administrator I
218 South 16th Street • Blair, Nebraska 68008 • 402- 426 -4191 • Fax 402- 426 -4195 E -mail cityofblair @d,blalr ne,us