K2 Registration 2011.tif i
FOR OFFICE USE ONLY
CITY OF BLAIR 1406
218 S. 16TH STREET Date Paid:
BLAIR, NE 68008 Receipt No: eZ 77310
(402) 426 -4191 Date Issued:
FAX (402) 426 -4195
email: CityofBlair@huntel.net BOND EXPIRES: j
promise (Continued)
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CONTRACTOR REGISTRATION / LICENSE RENEWAL
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Verify the following information; i
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Business Name: K2 Construction
Address -H>
7701 Cornhusker Hwy
Lincoln, NE 68507
Phone # 402 467 2 355
Mobile # 402 578 -3 348
Number of Employees: TQ 5 o Journeymen: Apprentices:
Type of Business:;
Other Licenses Held: City of Omaha water layers license
Insured? X6 Worker's Compensation?
Place a check in the box next to the licenses you wish to renew:
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Renew Name License / Registrat
Travis Sondgeroth General Contractor 01/01/2011 {� $60.00 ! J
List additional license f registrations:
Name License / Registration Amount
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All information contained in this application is true and correct. I will notify the City of Blair of any changes in
the information reported on or with this application form within 15 days of the change.
I hereby pp make application to the Licensing Board of Blair, Nebraska and certify that I am competent and
e xperienced erienced to engage in above said vocation. I agree to conform strictly to the Ordinances of the City of
Blair, Nebraska relative to said vocation and obe tl order, requirements and regulations of Its lavrful
constituted authorities.
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Authoriz d Signature Date