HomeMy WebLinkAboutWORK ACCEPTANCE FORM MME CONTRACTORS - 21-00849 - 1370 Stone Dr - Remodel & Deck AdditionContractor 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
MME Contractors
Jerod Mccord
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83402
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
547 w 20th
Address Line 2
mme.cont@gmail.com 208-520-4138
Electrical Ele-c-32948 4/30/2022 3,400.00$
Permit Information
Please enter in the following format: 00-00000
21-00849 Fryer remodel
1370 Stone Dr
Acceptance
Sign 12/7/2021