HomeMy WebLinkAboutWORK ACCEPTANCE FORM CHRISTENSEN & GRIFFITH CONSTRUCTION - 19-00527 - 320 Barney Dairy Rd - 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
Christensen & Griffith
Chad Griffith
City
Tooele
State / Province / Region
UT
Postal / Zip Code
84074
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
30 South Tooele Blvd
Address Line 2
chad@cgconst.com 8015318155
Building RCE - 35634 7/10/2020 20,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00527 Rexburg cell tower
320 Barney Dairy road
Acceptance
Sign 1/23/2020