HomeMy WebLinkAboutWORK ACCEPTANCE FORM PORTICADE CONSTRUCTION - 19-00398 - 70 Douglas Dr - Solar PanelsContractor 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
Porticade Construction
Virginia Jessop
City
Herriman
State / Province / Region
UT
Postal / Zip Code
84096
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
14398 S Oakfield Way
Address Line 2
porticadeconstruction@gmail.com 8016027237
Electrical 040001 3/31/2020 18,900.00$
Permit Information
Please enter in the following format: 00-00000
19-00398 Jared Holden
70 Douglas Dr. Rexburg ID 83440
Acceptance
Sign 7/2/2019