HomeMy WebLinkAboutWORK ACCEPTANCE FORM WEI ELECTRIC - 19-00036 - 118 N 1st E - Ferguson SFRContractor 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
Westland Electric Inc dba WEI Electric
Jolene Jackson
City
Nephi
State / Province / Region
Utah
Postal / Zip Code
84648
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3310 N Old Highway 91 #11
Address Line 2
info@westlanele.com 801-465-3642
Electrical 015455 6/30/2020 $
Permit Information
Please enter in the following format: 00-00000
19-00036 Ferguson
118 N 1st East
Acceptance
Sign 10/11/2019