Stormwater- Affiliates

Facility Name: CITY OF CLIVE PUBLIC WORKS - CONSTRUCTION

Permit Type: GP #2 Legal Status: Public     File No: 14151   Authorization No: 14151-13941

Expiration Date: 7/24/2008 (discontinued) Address: 2123 NW 111TH STREET - CLIVE , IA 50325

County: POLK Field Office: 5 SIC: Geospatial Information: 435839(X)/4606912(Y)

Affiliates   Name Address City State Zip Phone Type CITY OF CLIVE 1900 NW 114TH ST. CLIVE IA 50325 (515)223-6221 Owner BART WELLER 9289 SWANSON BLVD. CLIVE IA 50325 (515)223-6231 Contact Individual? Type:* --AFFILIATE TYPE-- OWNER OPERATOR CONTACT CERTIFIER Name: Title:   Company Name: C/O:   Address: Address 2: City/State/Zip   --Select-- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY PR OT E-mail:   Contact Owner   NO YES Preferred Method of contact EMAIL US MAIL Business Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Ext: Home Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Fax:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Mobile Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX