HomeMy WebLinkAboutWORK ACCEPTANCE FORM JKELLY CONSTRUCTION CORP - 23-00560 - Mountains Edge Sales & Services - AdditionContractor 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
JKelly Construction Corp
Jim Kelly
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
4587 E 298 N
Address Line 2
jim@kellyconstruction1.com 208-339-02875
208-339-0875
Building RCE-39732 5/27/2024 93,855.00$
Permit Information
Please enter in the following format: 00-00000
23-00560 Mountain Edge Sales & Equipment
4992 Eastside Drive
Acceptance
Sign 8/23/2023