HomeMy WebLinkAboutWORK ACCEPTANCE FORM IRON MAN ENTERPRISES LLC - 20-00139 - 890 W Main St - John Adams AdditionContractor 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
Iron man enterprises llc
Jeff mckinlay
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83442
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
4168 E 600 N
Address Line 2
jmckinlayironman@gmail.com 2084191990
Building RCE-31836 6/6/2020 100,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00139 John Adams GMC
890 W Main Street Rexburg
Acceptance
Sign 4/7/2020