HomeMy WebLinkAboutWORK ACCEPTANCE FORM COFFIN DEVELOPERS LLC - 22-00332 - Rexburg FM Office - 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
Coffin Developers LLC
Nathan Coffin
City
Pocatello
State / Province / Region
ID
Postal / Zip Code
83204
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1020 Shale Drive
Address Line 2
Pocatello, ID
coffindevelopers@gmail.com 12082415401
Building RCE-44124 4/5/2023 70,018.00$
Permit Information
Please enter in the following format: 00-00000
22-00332 Rexburg FM Office
434 E 2nd N Rexburg, Idaho 83440
Acceptance
Sign 8/5/2022