HomeMy WebLinkAboutWORK ACCEPTANCE FORM GRIMMETT BUILDERS - 22-00502 - Mountain West Rental and SalesContractor 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
Grimmett Builders
Colt Grimmett
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
colt@grimmettbuilders.com 208-604-3422
Building RCE-64628 12/21/2023 1,843,448.00$
Permit Information
Please enter in the following format: 00-00000
22-00502 Mountain West Rental and Sales
127 Airport Rd
Acceptance
Sign 6/22/2023