HomeMy WebLinkAboutWORK ACCEPTANCE FORM DREAM REOOM DESIGN - 23-00379 - 301 Pollard Ave - Patio EnclosureContractor 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
Dream Room Design
Bill Conant
City
Twin Falls
State / Province / Region
Idaho
Postal / Zip Code
83301
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
255 Blue Lakes Blvd N #672
Address Line 2
bill@dreamroomdesign.com 208-620-2106
208-358-8957
Building RCE-40876 12/9/2023 69,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00379 Loveland
301 Pollard
Acceptance
Sign 8/1/2023