HomeMy WebLinkAboutWORK ACCEPTANCE FORM ZIVA ENTERPRISES INC - 22-00827 - 175 Valley River Dr - McDonalds - 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
Ziva Enterprises Inc
Todd Johnson
City
Auburn
State / Province / Region
WA
Postal / Zip Code
98092
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1402 Lake Tapps Pkwy SE 104-111
Address Line 2
ziva.officemanager@gmail.com 5098086061
5098086047
Building rce-44631 5/30/2023 250,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00827 McDonalds
175 Valley River Drive
Acceptance
Sign 11/28/2022