HomeMy WebLinkAboutWORK ACCEPTANCE FORM BRAVO DEVELOPMENT - 21-00250 - BYUI Manwaring Center Activities & Involvement - 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
Bravo Development
Isidro Orozco
City
Boise
State / Province / Region
ID
Postal / Zip Code
83706
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
12 N Orchard St
Address Line 2
isidro@bravodemo.com 208-658-2379
208-941-2023
Demolition RCE 34947 3/19/2022 $
Permit Information
Please enter in the following format: 00-00000
21-00250 BYU-Idaho MC Activities Center remodel
525 S Center St, Rexburg, ID 83460
Acceptance
Sign 6/2/2021