HomeMy WebLinkAboutWORK ACCEPTANCE FORM K&S ENTERPRISES - 19-00691 - 1615 W 3400 S - New SFR MechanicalContractor 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
K&S Enterprises Llc
Kevin Clay
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
227 East 3250 Nortj
Address Line 2
Kevnsuzy6@gmail.com 208-403-5990
Mechanical (HVAC)Hvc-c 1185 2/28/2021 8,900.00$
Permit Information
Please enter in the following format: 00-00000
19-00691 Hatch
1615 west 3400 south
Acceptance
Sign 6/8/2020