HomeMy WebLinkAboutWORK ACCEPTANCE FORM RHOADES DRYWALL - 20-00977 - Cal Ranch Interior - Remodel112212021 New Submission
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�(7:,�' Contractor Work Acceptance Form
Contractor/ Subcontractor . .... . ..... .. . ..
- . ........ ... ........
Business Name:*
I Rhoades Drywall
Contact Narne:*
Dennis
Mailing Address
Update new contact information that is not already on file with the City of Rexburg
Street Address
po box 52325
Address Line 7
city
I Idaho Fails
Postal / Zip Code
,83405
Email: *
I stleon@Ida,net
Phone.
12085897050
Mobile:
1208-589-7050
state I Province / Region
I Idaho
Country
United States
Expiration Date: Value of Work:
Discipline: License #:
Building
112
https:/Ilaserfiche.rexburg-org/Forms/CBfNQ
Add
Permit information
PermitNumber:*
'Please enter in the following format: 00-00000
value is required.
Project Name:*
CAL ranch Rexburg
Project Address: *
530 N. 2nd E. Rexburg idaho
Acceptance . .. . .... ..
By signing, I acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature
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Date
1122/2021Submit 971,
Save as Draft
2/2
https://IaserF[r,he,rexbui-g.org]FormsJC8fNQ