Project # 8815-2017

Contractor: Dan Bailey Construction
Contact Person: Dan Bailey
Phone: (660) 826-3352

Owner: Casey's General Store's, Inc.
Project Site: KFD-Papichulo Mex Grill/Casey's w/ wash bay
Project Address: 301 & 303 Locking Ave
City: Brookfield
County: LINN
Regional Office: NERO
Demo Start Date: 11/13/2017
Demo Complete Date: 12/06/2017
Total # of Days: 23

Comments: Initiated start of project with abandoned bldg at 301 Locking. The open store at 303 Locking strt/end 11/22-12/6.

Present Use: 301=vacant,303 convenience store=open
Prior Use: restaurant, convenience store
Asbestos Type: none
Asbestos Qty: none
Amendments: N/A
Inspections: N/A
Postmark Date: 10/27/2017
Date Received: 10/30/2017

Paid: Yes