HomeMy WebLinkAboutWORK ACCEPTANCE FORM AUTOMATIC FIRE SYSTEM SERVICES - 18-00424 - 940 N 2nd E - Christensen Body ShopContractor 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
Automatic Fire System Services, Inc.
Christine R Benjamin
City
Missoula
State / Province / Region
Montana
Postal / Zip Code
20-1156426
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
300 S. Catlin, #2
Address Line 2
christine@afssmt.com 4065429119 Xt 9
Fire Sprinkler RCE-44445 4/21/2020 68,100.00$
Permit Information
Please enter in the following format: 00-00000
18-00424 Christensen Auto Body
900 N. 2nd East, Rexburg, ID 83440
Acceptance
Sign 9/9/2019