HomeMy WebLinkAboutWORK ACCEPTANCE FORM WIND RIVER CONSTRUCTION - 20-00248 - Vista Medical Office - Lot 3, Blk 1 Trejo Professional ParkContractor 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
Wind River Construction
Quinn Webb
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83402
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
2420 S Yellowstone Hwy
Address Line 2
Ste E
quinn@windriverconstruction.com 2082218664
2082218664
Building 41186 2/2/2021 650,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00251 Vista Medical
576 Trejo St
Acceptance
Sign 6/8/2020