HomeMy WebLinkAboutWORK ACCEPTANCE FORM EVERWOOD BUILDING SOLUTIONS - 20-00791 - 127 N 4th E Units 1 & 2 - A Greener Door DuplexContractor 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
Everwood Building Solutions
Josh Hirtle
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
everwood2018@gmail.com 208-881-8092
Plumbing plb-c-13439 10/31/2023 21,000.00$
Electrical 038628 3/31/2022 20,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00791 The Green Door Duplex
127 n 4th e, Rexburg, Idaho, 83440
Acceptance
Sign 1/3/2022