K2 Registration 2012.tif CITY OF BLAIR FOR OFFICE USE ONLY
218 S 16TH STREET
BLAIR, NE 68008 Date Paid: 1
Recei (402) 426 - 4191 t No: P
FAX (402) 426 - 4195
Date Issued:
Email: cityofblair @ci.blair.ne.us BO EXPIRES
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CONTRACTOR REGISTRATION / LICENSE RENEWAL
Please verify and correct
the company /business
K2 Construction information listed here:
7701 Cornhusker Hwy
Lincoln, NE 68507
Phone numbers on record:
Type: Phone Number: Type: Phone Number:
Office 402 467 2355
Mobile 402 730 4982
Email Address: a �`•', �i -
Type of Business:
Please submit new certificates or bond renewals for those which have expired:
Name Certificate of Liability or Bond Expires
Travis Sondgeroth General Certificate of Liability 1/1/2012
Place a check in the box next to the licenses you wish to renew:
Renew? Name License / Registration Expires Amount
Travis Sondgeroth General Contractor 12/31/2011 $60
Please list any additional license or registrations:
Name License / Registration Amount r ,
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 change.
I hereby make application to the Licensing Board of Blair, Nebraska and certify that I am competent and experienced 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 obey a Qrder ee"o ements and regulations of its lawful constituted authorities.
Autho ized Signature Date