HomeMy WebLinkAboutWORK ACCEPTANCE FORM DOWN HOME RENOVATIONS LLC - 22-00636 - Temple View Care Center - Shower RemodelContractor 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
Down Home Renovations LLC
Keith Rice
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
downhome208@gmail.com 208 948 3939
Plumbing 052573 12/31/2026 $
Permit Information
Please enter in the following format: 00-00000
22-00636 Temple view transitional shower remodel
660 south 2nd west rexberg Id 83440
Acceptance
Sign 12/27/2023