HomeMy WebLinkAboutWORK ACCEPTANCE FORM ACOUSTIC SPECIALTIES 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
Acoustic Specialties, Inc.
Joe Lazdauskas
City
POCATELLO
State / Province / Region
ID
Postal / Zip Code
83204
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3000 N MAIN
Address Line 2
joelazasi@gmail.com 208-233-2694
2082415308
Building RCE-5070 1/24/2022 385,056.00$
Permit Information
Please enter in the following format: 00-00000
21-00250 BYU-Idaho MC Activities Center
525 S Center St. Rexburg, ID 83460
Acceptance
Sign 6/2/2021