HomeMy WebLinkAboutWORK ACCEPTANCE FORM MITCH HARRIS CONSTRUCTION - 20-00039 - 335 Yale Ave - Basement 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
Mitch Harris Construction
Mitch Harris
City
St Anthony
State / Province / Region
ID
Postal / Zip Code
83445
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
330 N 6th E
Address Line 2
mharriscon@gmail.com 208-313-6893
Building RCE-31854 5/19/2026 20,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00039 335 Yale Ave - Basement Remodel
335 Yale Ave
Acceptance
Sign 4/29/2026