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COMMERCIAL PLANS SUBMITTAL FORM
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Date: Permit Number:
Address of job site: To r�u� 4 2 �r `� �� � , v-e-
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Description of submittal: /
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Number of plan sets submitted:
Name of person delivering the plans:
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Company name of delivery person
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Phone number of delivery person: 3 S ` q1/
Person we should contact if we have questions about these plans:
Contact person: � J e, LT r��T G2 �
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Company name:
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Position with company: 0 � c 6f" � �
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Office Phone number: e l
Cell Phone number:
E -Mail:
✓ SABuilding Dept. Formfforms\Plans Submittal For t 2AI2 d`'oc
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218 south 16th Street NO, Nebraska 68008 + 402- 426 -4141 ° Fdx 402 - 426 -4195 « E- rrmall ciNofblair @cLbtalt,ne.u's
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