HomeMy WebLinkAboutWORK ACCEPTANCE FORM GARY D JONES CONSTRUCTION - 20-00648 - Valley Ag Fertilizer Plant - AdditionContractor 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
Gary Jones Construction
Jason Jones
City
Burley
State / Province / Region
ID
Postal / Zip Code
83318
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
247 W. Hwy 30
Address Line 2
jason@garyjonesconstruction.com 2086781118
2083000040
Building RCE-13404 3/1/2021 2,000,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00648 Valley Ag Fertilizer Plant Addtn
2003 S. Yellowstone Hwy
Acceptance
Sign 9/1/2020