AD-2012-00478_0001-1.tif l LL
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CONST RUCTION CO.,
General Contractors Ken Petersen
Own
Nick P etersen Cell:402- 300-65
Project Manag Joe Craig
1 Project Manage
Pro r
Cell: 402-960-7 Cell: 402-306-6194 I TV
Commercial ® Industrial . Residential 1 -L _L Of F)LAIQ
1305 Lew Ross Rd. • P.O. Box 128 • Council Bluffs, Iowa 51 501 -01 28
Phone: 712/328 -0123 Fax: 712/323 -5890
kcp. ncpetersen @ yahoo.com
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COMMERCIAL PLANS SUBMITTAL FORM
Date: C 1 1 - 2, Permit Number:
Address of J • ob site:
Description of submittal:
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i
Number of plan sets submitted: 3
Name of person delivering the plans: N) cZ- P _ K _s_e y'7
1
Company name of delivery person:
Phone number of delivery person: q 0 — 9 1
Person we should contact if we have questions about these plans:
Contact person:
Company name:
Position with company:
Office Phone number:
Cell Phone number:
E -Mail:
SABuilding Dept. FormsTormsTlans Submittal Form- 2- 9- 2012.doc
218 South 16th Street P Blair, Nebraska 68008 402- 426.4191 Fax 402 -426-4195
E -mall c1Nofblair @ci,blafrne;us P'• "T�`