HomeMy WebLinkAboutWORK ACCEPTANCE FORM WELLS BUILDERS INC - 22-00795 - Madison Station ApartmentsContractor 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
Wells Builders Inc.
Cody Wells
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
4454e 325n
Address Line 2
wellsbuilders39@gmail.com 2083393607
Building Rce-29293 1/12/2024 1,303,202.00$
Permit Information
Please enter in the following format: 00-00000
22-00795 Madison Station
568 Trejo St Rexburg ID
Acceptance
Sign 4/4/2023