HomeMy WebLinkAboutWORK ACCEPTANCE FORM DL BECK INC - 19-00256-00257 - Well House BuildingsContractor 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
DL Beck Inc.
Connie Parker
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
2860 West 5200 South
Address Line 2
office@dlbeck.com 2086569344
Building RCE 2273 12/14/2019 2,446,605.00$
Permit Information
Please enter in the following format: 00-00000
19-00257 Well Houses #8 & #9
293 E 7th N., Rexburg, ID 83440
Acceptance
Sign 6/26/2019