HomeMy WebLinkAboutWORK ACCEPTANCE FORM JW ELECTRIC - 19-00172 - 246 S 1st W - Carriage House Managers Unit 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
J W Electric LLC
Jared Wilde
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
6111 E 49th N
Address Line 2
wildej20@gmail.com 208-313-2058
Electrical 013805 9/30/2019 3,500.00$
Permit Information
Please enter in the following format: 00-00000
19-00172 Carriage house remodel
246 S 1st Rexburg
Acceptance
Sign 8/2/2019