HomeMy WebLinkAboutWORK ACCEPTANCE FORM MOUNTAIN VALLEY CONSTRUCTION INC - 19-00047 - 358 E 2nd S - Lincoln Elementary School - AdditionContractor 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
Mountain Valley Construction, Inc.
Jody Butler
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 311
Address Line 2
mvconstruction@hotmail.com 2086041583
Demolition RCE-2456 12/9/2019 130,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00047 Lincoln Elementary Addition
358 2nd South
Acceptance
Sign 6/20/2019