HomeMy WebLinkAboutWORK ACCEPTANCE FORM CREATIVE CONCRETE WORK, LLC - 22-00261 - 7N Apartments - Bldg 2 - 4 PlexContractor 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
Creative Concrete Works, LLC
Josh
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
151 N 2000 E
Address Line 2
ccwjosh@hotmail.com (208) 351-9817
Same
Building LA209164I 1/15/2027 118,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00263 7th North Apartments
676 Carlow St. Rexburg ID, 83440
Acceptance
Sign 5/18/2022