HomeMy WebLinkAboutWORK ACCEPTANCE FORM REDTAIL BUILDERS - 23-00358 - Concoran 6 Unit - 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
Redtail Builders
Cody Adams
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
601 Annis Hwy
Address Line 2
jsminc.cody@gmail.com 208-881-7423
Building RCE-56045 3/3/2024 $
Permit Information
Please enter in the following format: 00-00000
23-00358 Corcoran 6 Unit - Apartment
358 S 3rd W
Acceptance
Sign 9/14/2023