HomeMy WebLinkAboutWORK ACCEPTANCE FORM METAL WORKS - 19-00587 - 160 W 2nd St Ste 102 - Crumbl CookiesContractor 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
Commercial Metal Works Inc
Gene Holmes
City
Shelley
State / Province / Region
Idaho
Postal / Zip Code
83274
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
P.O. Box M
Address Line 2
gene@commercialmetalworksinc.com 208-357-2347
208-589-2228
Mechanical (HVAC)HVC-C-719 12/31/2020 5,515.00$
Permit Information
Please enter in the following format: 00-00000
19-00587 Crumbl Cookie
160 W 2nd S Ste 102
Acceptance
Sign 10/31/2019