HomeMy WebLinkAboutWORK ACCEPTANCE FORM K & S ENTERPRISES - 23-00261 - 1203 Castle Pines Rd - PavilionContractor 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 n S Enterprises
Kevin Clay
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
227 E 3250 N
Address Line 2
kevnsuzy6@gmail.com 208-403-5990
Mechanical (HVAC)1184 2/28/2024 $
Permit Information
Please enter in the following format: 00-00000
23-00261 Pavilion
1203 Castle Pines Rd
Acceptance
Sign 6/7/2023