HomeMy WebLinkAboutWORK ACCEPTANCE FORM DEWALL CONSTRUCTION COMPANY - 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
DeWall Construction Company
Greg DeWall
City
Pocatello
State / Province / Region
ID
Postal / Zip Code
83206
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
P.O. Box 2085
Address Line 2
gdewall64@gmail.com 208-232-6086
208-251-2701
Building PWC-C-12269-C-3-5 5/31/2020 24,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00047 Lincoln Elementary Addition
358 E 2nd S Rexburg ID 83440
Acceptance
Sign 6/21/2019