HomeMy WebLinkAboutWORK ACCEPTANCE FORM CREW GENERAL CONTRACTORS - 20-00904 - Lyman LDS Meetinghouse - Ramp 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
Crew General Contractors, Inc.
Michael Allem
City
Eagle Mountain
State / Province / Region
Utah
Postal / Zip Code
84005
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
4744 E Silver Mountain Road
Address Line 2
michael@crewgc.com 385-425-3985
801-512-6679
Building RCE-52695 9/27/2021 57,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00904 Lyman LDS Meetinghouse - Ramp Remodel
1952 S 2000 W
Acceptance
Sign 11/24/2020