HomeMy WebLinkAboutWORK ACCEPTANCE FORM SILVER HEIGHTS CONSTRUCTION - 22-00218 - 155 & 171 Charles Place - New SFR - Twin HomeContractor 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
Silver Heights Construction
Shane Hill
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
166 Charles Place
Address Line 2
Shanem.hill@hotmail.com 2083904205
Plumbing PLB-C-11590 12/31/2024 17,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00218 Stephan Zollinger
155 Charles Place
Acceptance
Sign 8/29/2022