HomeMy WebLinkAboutWORK ACCEPTANCE FORM K&S ENTERPRISES - 20-00381 - 254 E 1st S - SFR 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
K&S ENTERPRISES
KEVIN CLAY
City
REXBURG
State / Province / Region
ID
Postal / Zip Code
83440
Country
MADISON
Update new contact information that is not already on file with the City of Rexburg
Street Address
227 E 3250 N
Address Line 2
KEVNSUZY6@GMAIL.COM 208-403-5990
208-403-5990
Mechanical (HVAC)1184-1185 2/15/2021 7,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00381 TYLER RUSSELL
254 E 1ST S REXBURG, ID 83440
Acceptance
Sign 10/22/2020