HomeMy WebLinkAboutWORK ACCEPTANCE FORM CME INC OF IDAHO - 23-00033 - 110 S 12th St - Cell TowerContractor 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
CME Inc of Idaho
Ben Wolf
City
Boise
State / Province / Region
id
Postal / Zip Code
83709
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
6400 W Contractors St Suite 101
Address Line 2
bw@cmeofidaho.com 12089916570
12089916570
Building RCE-50139 1/24/2024 20,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00033 110 S 12th St - Cell Tower
110 S 12th St
Acceptance
Sign 2/6/2023