HomeMy WebLinkAboutWORK ACCEPTANCE FORM GREENCAT INC - 20-00489 - 431 S 2nd W - Rockwell House - 4 plexContractor 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
Greencat Inc.
Charlie Holmes
City
Kuna
State / Province / Region
ID
Postal / Zip Code
83634
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1577 N. Linder Rd. #323
Address Line 2
charlesidaho@gmail.com 208-360-3011
Building RCE-55232 7/9/2021 300,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00489 Rockwell House
431 S 2nd W
Acceptance
Sign 7/20/2020