HomeMy WebLinkAboutWORK ACCEPTANCE FORM CLEANWORKS - 21-00617 - Twin Pines Apartments - 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
Cleanworks, Inc DBA Servicemaster Clean
justin houts
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
2839 E 14 N
Address Line 2
crc@werestorenow.com 2084064950
2084064950
Building RCE-6633 1/10/2022 $
Permit Information
Please enter in the following format: 00-00000
21-00617 Twin Pines Apartments
160 N. 1st St. Rexburg,Idaho
Acceptance
Sign 11/30/2021