HomeMy WebLinkAboutWORK ACCEPTANCE FORM LKE & SONS AG, LLC - 20-00146 - Idaho Central Storage remodelContractor 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
LKE&Sons Ag LLC
Laramie Eckman
City
Teton
State / Province / Region
Idaho
Postal / Zip Code
83451
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
128 south center P.O. Box96
Address Line 2
Eckm557@aol.com 2083513890
Electrical 041993 8/20/2020 8,500.00$
Permit Information
Please enter in the following format: 00-00000
20-00146 Central Storage
344west 4th South
Acceptance
Sign 4/15/2020