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528 s23rd_0001.tif t 1 r I CITY Of BUUQ A � 'se ot Husker Siding & Windows, Inc. May 27, 2015 1406 Veterans Dr Elkhorn NE 68022 Permit Number: MS- 2014 -02771 39 Sq Roof Permit Address: 528 S 23rd St Dear Contractor, The Roofing Inspection for the above referenced permit has passed inspection, but j 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. Thankyou in advance for your cooperation in this matter. Sincerely, ?V GAtZ4w Phil Green Assistant City Administrator oilwa 218 South 16th Street - Blair Nebraska 68008 • 402 -426 -4191 a Fax 402 -426 -4195 E -mail cifyofblair @ci.blalr.ne,us Dip u