Checkoff Sheet - 2nd Request - MS-2014-00853.tif i
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K W Enterprises
December 23, 2015
2887 Camden Ave
Omaha NE 68111
Permit Number: MS-2014-00853
Roofing and gutters
Permit Address: 679 N 15th St
Dear Contractor,
The Roofing Inspection for the above referenced permit has passed inspection, but
no Roofing Checkoff Sheet has been submitted 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 e-mail (stormdamage@ci.blair.ne.us), by fax
(402.426.4195) or by mail (218 S 16th St, Blair, NE, 68008).
This is a second request for a Roofing Checkoff Sheet.
If you do not return a completed Roofing Checkoff Sheet within 30 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
Sincerely,
I
Phil Green
Assistant City Administrator
218 South 16th Street Blair,Nebraska 68008• 402-426-4191 • Fax 402-426-4195 • E-mail cilyofblalr@cl,blalr.ne,us '