HomeMy WebLinkAboutWORK ACCEPTANCE FORM KORE REFRIGERATION - 23-00054 - Maverik Store #505 - 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
Kore Refrigeration
Al Clark
City
West Valley
State / Province / Region
UT
Postal / Zip Code
84170
Country
usa
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 701398
Address Line 2
aclark@aceut.com 801-973-9646
801-505-3496
Mechanical (HVAC)013486 4/30/2024 18,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00054 Maverik Rexburg
859 W Main Street, Rexburg, ID
Acceptance
Sign 2/28/2023