HomeMy WebLinkAboutWORK ACCEPTANCE FORM DENNIS GROUP - 18-00479 - 40 E 7th N - Basic American New Building 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
Dennis Group
Scott Holdeman
City
Salt Lake City
State / Province / Region
UT
Postal / Zip Code
84101
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
26 West Market Stree
Address Line 2
Holdeman@dennisgroup.com 801.428.1144
801.541.9885
Mechanical (HVAC)PWC-C14671-Unlimited-4 7/31/2019 3,400,000.00$
Permit Information
Please enter in the following format: 00-00000
18-00479 Basic American Foods Plant Expansion
40 East 7th North, Rexburg, ID 83440
Acceptance
Sign 7/8/2019