HomeMy WebLinkAboutWORK ACCEPTANCE FORM RIDGELINE CONSTRUCTION SERVICES - 21-00122 - 2195 W 440 S - FireplaceContractor 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
Ridgeline construction services
NICHOLAS MCINTIER
City
IDAHO FALLS
State / Province / Region
Idaho
Postal / Zip Code
83404
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
151 10th street
Address Line 2
Nick@ridgelinecsllc.com 2083604089
Mechanical (HVAC)019595 8/31/2021 600.00$
Building RCE-56184 10/16/2021 600.00$
Permit Information
Please enter in the following format: 00-00000
20-00115 Evans home / fire place
2179 w 440 s rexburg id 83440
Acceptance
Sign 2/26/2021