HomeMy WebLinkAboutWORK ACCEPTANCE FORM RES LLC - 21-00355 - 7 E 2nd N - ShopContractor 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
RES LLC
Ryan Sutton
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
rescorp77@gmail.com 208-317-1956
Building RCE-47680 5/7/2022 $
Permit Information
Please enter in the following format: 00-00000
21-00355 7 E 2nd N - Shop
7 E 2nd N
Acceptance
Sign 1/13/2022