HomeMy WebLinkAboutWORK ACCEPTANCE FORM CUTTING EDGE ELECTRIC - 19-00371 - 480 W 2nd N - Veterans Memorial Building - 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 acknowle dge that I am the indicate d contractor for the abov e me ntione d Pe rmit/Proje ct.
Signature Date
Contractor/Subcontractor
Cutting Edge Electric Inc
Brad Whitehead
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
614 Douglas Ave
Address Line 2
brad449@hotmail.com 208-552-0387
208-360-1573
Electrical ELE-C-37825 10/31/2019 3,350.00$
Permit Information
Please enter in the following format: 00-00000
19-00371 Madison Veteran's Memorial
480 W. 2nd N Rexburg. Id 83440
Acceptance
Sign 7/11/2019