HomeMy WebLinkAboutWORK ACCEPTANCE FORM ULTIMATE STEEL ERECTION - 22-00292 - Chad Erickson - New Commercial BldgContractor 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
Ultimate Steel Erection
Trever Poulsen
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2621 S. Frontage Road
Address Line 2
trever@ultimatesteelerection.com 2083564239
Building RCE-18785 10/17/2022 1,200,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00292 RPRRXBP2020031 - New Commercial Bldg
Rexburg Business Park PH2 Blk 2 Lot 3
Acceptance
Sign 4/28/2022