HomeMy WebLinkAboutWORK ACCEPTANCE FORM STONE TOUCH - 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
Stone Touch
Steve
City
Farmington
State / Province / Region
Ut
Postal / Zip Code
84025
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
2017 Buffalo Circle
Address Line 2
steve@stonetouch.com 801-281-2299
Building 007601-d-4 9/30/2019 5,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00047 Lincoln Elementary addition
358 E 2nd S Rexburg ID 83440
Acceptance
Sign 6/25/2019