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Project # 10936-2021

Contractor: Jerrod Henderson
Contact Person: Jerrod Henderson
Phone: (573) 330-9011

Owner: City of Potosi
Project Site: Residential Structure
Project Address: 403 Stone St
City: Potosi
Regional Office: SERO
Demo Start Date: 08/02/2021
Demo Complete Date: 08/20/2021
Total # of Days: 18

Present Use: vacant
Prior Use: residential
Asbestos Type: none
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: 07/19/2021
Date Received: 07/21/2021
Paid: Yes

Comments: contractor wishes this to be regulated in case other structures are demo'd by city this year