HomeMy WebLinkAboutWORK ACCEPTNACE FORM BIG BIZ LLC/DBA DOWN THE DRAIN - 21-00624 - Key Bank - 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 acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
Big Biz LLC/ DBA Down The Drain
Mike Baker
City
Blackfoot
State / Province / Region
ID
Postal / Zip Code
83221
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
339 West 350 North
Address Line 2
keigun05@protonmail.com 14065991833
Plumbing 052412 4/30/2024 20,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00624 KKOS Public Restroom
15 S 1st E Rexburg, ID 83440
Acceptance
Sign 10/10/2021