HomeMy WebLinkAboutWORK ACCEPTANCE FORM HAROLD L HARRIS CONSTRUCTION INC. - 22-00474 - Transfer Station - New Scale HouseContractor 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
Harold L. Harris Construction Inc.
Bryan Harris
City
Sugar City
State / Province / Region
Idaho
Postal / Zip Code
83448
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
5 East Center
Address Line 2
PO Box 30
hlhconstruction@hotmail.com 208-356-3342
208-390-5098
Building RCE5091 3/7/2023 546,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00474 Madison County Scales
529 Airport Road
Acceptance
Sign 7/5/2022