HomeMy WebLinkAboutWORK ACCEPTANCE FORM K&S ENTERPRISES LLC - 23-00130 - 4560 N 2000 W - New SFR MechanicalContractor 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
K&S Enterprises LLC
Kevin Clay
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
2270East 3250North
Address Line 2
Kevnsuzy6@gmail.com 208-403-5990
Mechanical (HVAC)1184-1185 2/24/2023 65.00$
Permit Information
Please enter in the following format: 00-00000
23-00130 Henry
4560 N 2000 W
Acceptance
Sign 3/21/2023