HomeMy WebLinkAboutWORK ACCEPTANCE FORM BIG-D CONSTRUCTION CORP - 20-00247 - 525 S Center - BYUI Ice Bank Replacement ProjectContractor 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
Big-D Construction Corp.
Andrew Wolford
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
343 E 4th N, Suite 112
Address Line 2
andrew.wolford@big-d.com 208-709-9761
Building RCE-4751 12/28/2020 738,038.00$
Permit Information
Please enter in the following format: 00-00000
20-00247 BYUI Ice Bank Replacement
525 S Center St.
Acceptance
Sign 4/22/2020