HomeMy WebLinkAboutWORK ACCEPTANCE FORM DESERT PEAK GENERAL CONTRACTORS, LLC - 23-00037 - Rexburg Pediatrics - 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
Desert Peak General Contractors, LLC
Nicholas Shippen
City
Rigby
State / Province / Region
Idaho
Postal / Zip Code
83442
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 707
Address Line 2
nicholas.shippen@desertpeakgc.com 2088212313
Building RCE-47629 4/27/2023 566,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00037 Rexburg Pediatrics Remodel
404 N 2nd E, Rexburg, ID 83440
Acceptance
Sign 1/23/2023