HomeMy WebLinkAboutWORK ACCEPTANCE FORM OGDEN ART METAL - 20-00977 - Cal Ranch Interior - 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
Ogden Art Metal Inc.
Sy Imlay
City
Ogden
State / Province / Region
UT
Postal / Zip Code
84404
Country
US
Update new contact information that is not already on file with the City of Rexburg
Street Address
534 Washington Blvd.
Address Line 2
sy.imlay@gmail.com 8018429707
Building 230785-5501 11/30/2022 8,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00977 Cal Ranch
530 North 2nd East Rexburg, Idaho 83440 United
States
Acceptance
Sign 1/24/2021