HomeMy WebLinkAboutWORK ACCEPTANCE FORM FIRST CALL JEWEL - 21-00638 - Casa de Ochoa - 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
First call Jewel
Samuel Hodson
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
permit@firstcalljewel.com 2085227777
Plumbing Plb-c-12576 6/30/2021 409.00$
Permit Information
Please enter in the following format: 00-00000
21-00638 Casa de Ochoa
383 S. 2nd W. Rexburg ID
Acceptance
Sign 9/2/2021