HomeMy WebLinkAboutWORK ACCEPTANCE FORM R&O CONSTRUCTION CO - 21-00208 - Goldenwest Credit Union - Branch OfficeContractor 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
R&O Construction Co.
Wendy Austin
City
Ogden
State / Province / Region
UT
Postal / Zip Code
84067
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
933 Wall Avenue
Address Line 2
wendya@randoco.com 801-627-1403
Building PWC-C-10211-AAA-3 1/31/2022 1,574,074.00$
Permit Information
Please enter in the following format: 00-00000
21-00208 Goldenwest Credit Union
855 University Blvd., Rexburg, ID
Acceptance
Sign 7/7/2021