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Project # 11017-2021

Contractor: Tru Blue LLC
Contact Person: Jeramie Swanson
Phone: (816) 863-5040

Owner: MOCL Northgate MHP LLC
Project Site: residential mobile home on Lot #152
Project Address: 1260 NE HWY 69
City: Liberty
County: CLAY
Regional Office: KCRO
Demo Start Date: 10/11/2021
Demo Complete Date: 10/15/2021
Total # of Days: 4

Present Use: vacant
Prior Use: residential mobile home
Asbestos Type: none
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 09/23/2021
Paid: Yes