HomeMy WebLinkAboutWORK ACCEPTANCE FORM DOUG'S REPAIR - 20-00417 - Harbor Freight - Outer Shell 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
Doug's Construction and Repair, Inc
Misty Taylor
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
418 N 4014 E Ste #4
Address Line 2
info@dougsrepair.com 208.356.9331
Mechanical (HVAC)RCE-36214 10/22/2020 96,675.00$
Permit Information
Please enter in the following format: 00-00000
20-00417 Rexburg Retail
530 N 2nd E Rexburg, ID 83440
Acceptance
Sign 8/3/2020