HomeMy WebLinkAboutWORK ACCEPTANCE FORM ENGINEERED STRUCTURES INC - 20-00940 - Walmart - 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
Engineered Structures, Inc.
Chelsee Spencer
City
Meridian
State / Province / Region
ID
Postal / Zip Code
83642
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3330 E. Louise Dr. Ste 300
Address Line 2
chelseemannlein@esiconstruction.com 208-362-3040
208-509-2710
Building RCE-3108 1/10/2022 2,143,454.00$
Permit Information
Please enter in the following format: 00-00000
20-00940 L019 Walmart 1878-248 Rexburg, ID
1450 N. 2nd E. Rexburg, ID 83440
Acceptance
Sign 2/24/2021