HomeMy WebLinkAboutWORK ACCEPTANCE FORM CONSTRUCTION SOLUTIONS COMPANY - 19-00780 - 500 N 2nd E - DL Evans BankContractor 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
Construction Solutions Company
Jared Turner
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
2880 E 14th N
Address Line 2
jared@cscid.com 208-514-4441
208-908-3306
Building RCE-31727 6/3/2020 1,300,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00780 DL Evans Bank
NNA North 2nd East, Rexburg, ID 83440
Acceptance
Sign 12/24/2019