HomeMy WebLinkAboutWORK ACCEPTANCE FORM MARTINEAU ELECTRIC - 19-00156 - 433 Airport Rd - Barney Self Storage Plus - Bldg 7Contractor 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
Martineau Electric
Ferron Martineau
City
Newdale
State / Province / Region
Idaho
Postal / Zip Code
83436
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
375 Main
Address Line 2
martineauelectric@msn.com 208-390-2126
Electrical C25875 1/1/2020 5,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00156 Barney Self Storage Plus - Bldg 7
433 Airport Rd
Acceptance
Sign 8/27/2019