HomeMy WebLinkAboutWORK ACCEPTANCE FORM GOLDEN WEST IRRIGATION - 20-00014 - 600 N 12 W - Golf Shop 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
Golden West Irrigation
Trent Angell
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
2256 s HWY 191
Address Line 2
trent@gwirrigation.com 208-356-9318
208-313-6345
Electrical ELE-C-20100 5/1/2021 53,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00014 Golf remodel
Golf Course
Acceptance
Sign 5/8/2020