HomeMy WebLinkAboutWORK ACCEPTANCE FORM ALBOS CONSTRUCTION - 21-00426 - Red 8 Asian Cuisine and Sushi Bar - 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
Albos construction
Alice ly
City
Midvale
State / Province / Region
Ut
Postal / Zip Code
84047
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
262 carol ln
Address Line 2
alicely6868@outlook.com 385-335-9910
Building 9582540-5501(RCE-
58992)
12/31/2021 12,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00426 Red 8 Asian bistro
469 n 2nd e Rex burg ID 83440
Acceptance
Sign 7/24/2021