HomeMy WebLinkAboutWORK ACCEPTANCE FORM ALL ABOUT HOME REPAIR - 19-00447 - 236 N 3rd E - SFR to 4-PlexContractor 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
All About Home Repair
Stephen Perry
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2437 W 4700 S
Address Line 2
service@allabouthomerepairllc.com 2083592247
2085400855
Plumbing 019369 7/31/2020 13,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00447 Kostial
236 N 3rd E
Acceptance
Sign 1/17/2020