HomeMy WebLinkAboutWORK ACCEPTANCE FORM STEEL CONCEPTS - 21-00797 - Red Spud Storage - Storage UnitsContractor 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
Steel Concepts
Steve Larsen
City
Teton
State / Province / Region
Idaho
Postal / Zip Code
83451
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 153
Address Line 2
emma.steel.concepts@hotmail.com 2082276198
2082276198
Building RCE-28827 11/10/2022 33,600.00$
Permit Information
Please enter in the following format: 00-00000
19-00137 Coblentz - Red Spud Storage
2866 Mendoza Dr
Acceptance
Sign 11/8/2021