HomeMy WebLinkAboutWORK ACCEPTANCE FORM QB CONSTRUCTION - 19-00260 - 242 E 7th N - Tami's Salon - BeutofullnessContractor Work Acceptance Form
Business Name:*
Contact Name:*
Mailing Address
Email:*Phone:*
Mobile:
Discipline:*License #:*Expiration Date:*Value of Work:
Permit Number:*
Project Name:*
Project Address:*
By signing, I acknowle dge that I am the indicate d contractor for the abov e me ntione d Pe rmit/Proje ct.
Signature Date
Contractor/Subcontractor
QB Construction LLC
Quinn Benson
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
usa
Update new contact information that is not already on file with the City of Rexburg
Street Address
4340 w 1000 n
Address Line 2
qbconstruction@hotmail.com 208-313-5568
208-313-5568
Building rct-12410 11/4/2019 $
Permit Information
Please enter in the following format: 00-00000
00-00000 tamis salon/ blt hymas ent. llc
242 e 7th n
Acceptance
Sign 5/17/2019