HomeMy WebLinkAboutWORK ACCEPTANCE FORM STOUT BUILDING CONTRACTORS - 20-00977 - Cal Ranch Interior - 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
Stout Building Contractors
Anthony Hewlett
City
Bountiful
State / Province / Region
UT
Postal / Zip Code
84010
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
1113 S 500 W
Address Line 2
anthonyh@stoutbc.com 8017925981
Plumbing RCE-36214 10/22/2020 25,000.00$
Mechanical (HVAC)RCE-36214 10/22/2020 90,000.00$
Electrical ELE-C-3698 6/30/2021 75,000.00$
Demolition RCE-4879 1/17/2021 50,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00417 Rexburg Retail Remodel
530 N 2nd East, Rexburg, ID
Acceptance
Sign 7/16/2020