HomeMy WebLinkAboutWORK ACCEPTANCE FORM ELIOS CONCRETE - 23-00732 - Good 2 Go - New Commercial BldgContractor 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
Elios Concrete
Good2go
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83406
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
701 Ensign Dr
Address Line 2
jesuscarrillo1978@gmail.com 2088811282
Building RCE65465 3/8/2023 420,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00732 Good2go
701 Ensign Dr
Acceptance
Sign 12/14/2023