HomeMy WebLinkAboutWORK ACCEPTANCE FORM CONDIE CONSTRUCTION, INC - 22-00232 - Teton Radiology - 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
Condie Construction, Inc.
Tim Condie
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83403
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 2926
Address Line 2
timcondie@gmail.com 2085691411
2085691411
Building RCE-1733 12/2/2022 64,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00232 Teton Radiology - MRI Remodel
425 E 4th N
Acceptance
Sign 8/9/2022