HomeMy WebLinkAboutWORK ACCEPTANCE FORM A-CORE 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
A-Core of Idaho, Inc.
Brad Rodgers
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
4452 N. Haroldsen Dr
Address Line 2
brad@a-core.com 208-523-3930
208-317-5550
Building RCE-1632 11/17/2019 $
Permit Information
Please enter in the following format: 00-00000
19-00047 Lincoln Elementary Addition
358 E 2nd S, Rexburg, ID 83440
Acceptance
Sign 6/20/2019