HomeMy WebLinkAboutWORK ACCEPTANCE FORM B H INC - 19-00764 - 117 N 2nd E - Verizon Wireless - Cell TowerContractor 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
BH INC
Josh Woodbeck
City
Vernal
State / Province / Region
UT
Postal / Zip Code
84078
Country
US
Update new contact information that is not already on file with the City of Rexburg
Street Address
826 S 1500 E
Address Line 2
jwoodbeck@bhico.com 435-789-5252
435-503-7007
Building RCE-49617 11/15/2020 23,832.00$
Permit Information
Please enter in the following format: 00-00000
19-00764 ID6 Rexcamp
117 North 2nd East Rexburg, ID 83440
Acceptance
Sign 1/16/2020