Loading...
HomeMy WebLinkAboutWORK ACCEPTANCE FORM EXCEL GENERAL CONTRACTORS LLC - 22-00059 - Java EspressContractor 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 Excel General Contractors LLC Ken Allen City Francis State / Province / Region Utah Postal / Zip Code 84036 Country usa Update new contact information that is not already on file with the City of Rexburg Street Address 95 east 1495 south Address Line 2 excelgc1111@gmail.com 435 640 7696 435 640 7696 Building RCE-63751 9/27/2023 800,000.00$ Permit Information Please enter in the following format: 00-00000 22-00059 Java Espress 565 N 2nd E Acceptance Sign 11/1/2022