HomeMy WebLinkAboutWORK ACCEPTANCE FORM JEROME BOWEN CONSTRUCTION - 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
Jerome Bowen Construction
Ed Denham
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2803 West 3800 South
Address Line 2
P.O. Box 475
jbc3934@gmail.com 2083563934
Demolition RCE-4879 1/17/2022 86,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00977 Cal Ranch Demolition
530 N. 2nd East, Rexburg, Idaho 83440
Acceptance
Sign 1/28/2021