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HomeMy WebLinkAboutWORK ACCEPTANCE FORM BIG D CONSTRUCTION CORP - 19-00136 - Romance Theater - Remodel Phase 1Contractor 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 Big-D Construction Matt Blomquist City Rexburg State / Province / Region Idaho Postal / Zip Code 83440 Country United States Update new contact information that is not already on file with the City of Rexburg Street Address 343 E 4th N, Suite 112 Address Line 2 P.O. Box 794 matt.blomquist@big-d.com 2084972734 Building PWC-C-11783 10/31/2019 151,055.00$ Permit Information Please enter in the following format: 00-00000 19-00136 Romance Theater Phase 1 2 E Main St. Rexburg, ID 83440 Acceptance Sign 5/23/2019