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HomeMy WebLinkAboutWORK ACCEPTANCE FORM ALAN GOULD - 19-00154 - 1450 N 2nd E - Walmart - Grocery Pickup 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 Walmart Stores Inc. Alan Gould City NORTH OGDEN State / Province / Region UT Postal / Zip Code 84414 Country United States Update new contact information that is not already on file with the City of Rexburg Street Address 709 East 1750 North Address Line 2 alan.gould@walmart.com 801-389-4195 801-389-4195 Fire Alarm ELE-SJ-14710 4/30/2020 2,000.00$ Permit Information Please enter in the following format: 00-00000 00-00000 Online Grocery Pickup Expansion 1450 N. 2nd East Acceptance Sign 8/27/2019