HomeMy WebLinkAboutWORK ACCEPTANCE FORM CONSTRUCTION SOLUTIONS COMPANY - 23-00046 - 240 E Moody - Wendy's - New BuildingContractor 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
Construction Solutions Company
Challis Stewart
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2880 E 14th N
Address Line 2
challis@cscid.com 2085144441
Building RCE-31727 6/3/2023 $
Permit Information
Please enter in the following format: 00-00000
23-00046 240 E Moody – Wendy’s – New Building
240 E Moody, Rexburg ID 83440
Acceptance
Sign 3/22/2023