HomeMy WebLinkAboutWORK ACCEPTANCE FORM PARKWAY CONSTRUCTION & ASSOCIATES - 22-00039 - Rexburg Idaho LDS Temple - 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
Parkway Construction & Associates
Thor Osborn
City
Lewisville
State / Province / Region
TX
Postal / Zip Code
75067
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
1000 Civic Circle
Address Line 2
thorosborn@gmail.com 208.270.3464
208.270.3464
Building RCE-40599 10/16/2022 350,847.00$
Permit Information
Please enter in the following format: 00-00000
22-00039 Rexburg LDS Temple Renovation
750 S. 2nd East Rexburg, ID 83440
Acceptance
Sign 3/30/2022