HomeMy WebLinkAboutWORK ACCEPTANCE FORM 8 CUBE CONSTRUCTION - 19-00745 - Webb - New SFRContractor 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
8 Cube Construction Inc.
Dallen Barney
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3470 E Leihm Lane
Address Line 2
8cubec@gmail.com 208-313-0046
Building RCE53273 11/26/2020 22,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00745 Big Bend
No address yet
Acceptance
Sign 12/6/2019