Clay County OneGov

Permit Registration New Moving User UID # 16658
App. Status: Incomplete

Contact Information:

Name:

James B Samuelson

Company:

Samuelson Construction LLC

Phone:

(701

) 238

- 3777

Mailing Address:

5002 Meadow Creek Drive Southwest

Fargo	ND	58104

Certificate of Insurance Company:

progressive

Certificate of Insurance Policy Number:

997999603

Certificate of Insurance Amountr:

$1,000,000.00

Certificate of Insurance Expires:

05/27/2026