HomeMy WebLinkAboutWORK ACCEPTANCE FORM MOUNTAIN WEST PRECAST - 21-00551 - City of Rexburg - Nature Park - RestroomContractor 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
Mountain West Precast
Tyler Hokanson
City
Brigham City
State / Province / Region
Utah
Postal / Zip Code
84302
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
1047 W 600 N
Address Line 2
Suite B-1
estimating@mwprecast.com 435-239-7000 ext. 109
435-720-8257
Building N/A 7/1/2022 86,628.00$
Permit Information
Please enter in the following format: 00-00000
21-00551 Nature Park Precast Restroom
Rexburg, ID 83440
Acceptance
Sign 7/30/2021