HomeMy WebLinkAboutWORK ACCEPTANCE FORM ALAN CLARK CONSTRUCTION - 20-00155 - Romance Theater - Remodel phase 2Contractor 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
Alan Clark Construction
Alan Clark
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
7057 N 5th E
Address Line 2
alanclarkj@gmail.com 208-681-1255
Building 020156 8/1/2020 350,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00155 Romance Theater remodel phase 2
4 E Main Street
Acceptance
Sign 6/26/2020