HomeMy WebLinkAboutWORK ACCEPTANCE FORM QUALITY HOME SETTERS LLC - 23-00778 - 291 W 9000 S - Mobile HomeContractor 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
Quality Home Setters LLC
Kathy Gillard
City
Pocatello
State / Province / Region
Id
Postal / Zip Code
83201
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1508 Ridgeway ct
Address Line 2
qualityhomesettersllc@gmail.com 2087056118
2087056115
Building MFG-INSTAL- 564 10/31/2024 8,400.00$
Permit Information
Please enter in the following format: 00-00000
23-00778 Sam Cook
291 W 9000 S Rexburg Id 83440
Acceptance
Sign 10/31/2023