HomeMy WebLinkAboutWORK ACCEPTANCE FORM PJF CORP - 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
PJF Corp
Trevor Gold
City
LAYTON
State / Province / Region
UTAH
Postal / Zip Code
84041
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
905n Marshall Way
Address Line 2
tgold@pjfcorp.com 8014305079
8014305079
Building RCE-24513 2/19/2022 $
Permit Information
Please enter in the following format: 00-00000
20-00977 Rexburg Cal Ranch
530 North 2nd East
Acceptance
Sign 3/3/2021