HomeMy WebLinkAboutWORK ACCEPTANCE FORM PRICE CONSTRUCTION - 23-00677 - Coates Power Building - 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
Price Construction
Lane Price
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
260 N 2012 E
Address Line 2
laneprice67@gmail.com 208-709-7641
Building RCE-41580 4/20/2024 160,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00677 Coates Power Building - Addition
2674 S 2000 W
Acceptance
Sign 9/26/2023