HomeMy WebLinkAboutWORK ACCEPTANCE FORM DOUG'S CONSTRUCTION REPAIR INC - 22-00078 - 341 W 1st N Units 1 & 2 - New DuplexContractor 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
Doug's Construction and Repair Inc
Angel Ruiz
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
418 N 4014 E
Address Line 2
Ste #4
info@drheatingandplumbing.com 2083569331
Mechanical (HVAC)HVC-C-5600 8/31/2023 37,800.00$
Permit Information
Please enter in the following format: 00-00000
22-00078 Nef Apartments
341 W 1st N
Acceptance
Sign 6/24/2022