HomeMy WebLinkAboutWORK ACCEPTANCE FORM BATEMAN-HALL INC - 20-00314 - Advance Auto Parts - 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
Bateman-Hall, Inc.
Ben Christensen
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1405 Foote Drive
Address Line 2
ben.christensen@bateman-hall.com 208-523-2681
208-221-7364
Building RCE-1195 12/14/2020 50,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00314 Advance Auto Parts
125 Valley River Road Rexburg, ID 83440
Acceptance
Sign 5/20/2020