HomeMy WebLinkAboutWORK ACCEPTANCE FORM OVERLAND CONTRACTING INC - 22-00725 - AT&T Cell Tower - Equiptment UpgradeContractor 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
Overland Contracting Inc
Richard Black
City
Garner
State / Province / Region
North carolina
Postal / Zip Code
27529
Country
wake
Update new contact information that is not already on file with the City of Rexburg
Street Address
600 North Greenfield PKWY
Address Line 2
blackr@overlandcontracting.com 714-697-3513
714-697-3513
Building RCE-37931 8/1/2023 $
Permit Information
Please enter in the following format: 00-00000
22-00725 AT&T Cell Tower – Equipment Upgrade
164 W 1st N Rexburg, ID 83440
Acceptance
Sign 11/2/2022