HomeMy WebLinkAboutWORK ACCEPTANCE FORM NUVU GLASS INC - 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
NuVu Glass, Inc
Robyn Walker
City
Twin Falls
State / Province / Region
Idaho
Postal / Zip Code
83301
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
421 Eastland Drive
Address Line 2
robyn@nuvuglass.com 208-734-9877
208-731-0890
Building RCE-7092 1/24/2022 52,146.00$
Permit Information
Please enter in the following format: 00-00000
21-00250 BYU-Idaho Activities Center T.I.
525 S Center St. Rexburg, ID 83460
Acceptance
Sign 6/2/2021