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SELF May 26, 2015
Blair NE 68008
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Permit Number: MS- 2014 -02888
Roofing, siding, windows and gutters.
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Permit Address: 200 Hollostone Dr
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.
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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,
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Phil Green
Assistant City Administrator
218 South 16th Street • Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 -426 -4195 E -mail cityofblair @cl,blair,ne,us E�