HomeMy WebLinkAboutWORK ACCEPTANCE FORM R-2 CONTRACTORS INC - 20-00856 - Rocky Mountain Power - PlumbingContractor 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
R-2 Contractors, Inc.
Rob Mantell
City
Redmond
State / Province / Region
OR
Postal / Zip Code
97756
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 1658
Address Line 2
3070 NW Canal Blvd
rob.mantell@r2contractors.com 541.316.5143
360.421.5301
Building RCE-42774 8/24/2021 $
Permit Information
Please enter in the following format: 00-00000
20-00856 Rexburg Substation Upgrade
160 W 2nd North
Acceptance
Sign 10/28/2020