HomeMy WebLinkAboutWORK ACCEPTANCE FORM DAVIES AQUA-CHEM SUPPLY CO DBA MASTERCRAFT POOL & SPA - 22-00049 - Super 8 Motel - Hot Tubs 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
DAVIES AQUA-CHEM SUPPLY CO DBA MASTERCRAFT
POOL & SPA
Dallas Bodkin
City
Pocatello
State / Province / Region
Idaho
Postal / Zip Code
83201
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3650 Hwy 30 W.
Address Line 2
dallas.bodkin@gmail.com 2086817402
2086917402
Building RCE-9247 1/17/2023 82,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00049 Super 8 Rexburg
215 W Main st. Rexburg, Idaho 83440
Acceptance
Sign 2/1/2022