HomeMy WebLinkAboutWORK ACCEPTANCE FORM AUTOMATIC FIRE SYSTEM SERVICES INC - 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.
Mark Longtin
City
Missoula
State / Province / Region
MT
Postal / Zip Code
59801
Country
US
Update new contact information that is not already on file with the City of Rexburg
Street Address
300 South Catlin #2
Address Line 2
mlongtin@afssmt.com 4065429119
4062146961
Fire Sprinkler 19-00588 12/31/2019 68,100.00$
Permit Information
Please enter in the following format: 00-00000
18-00424 Christensen Auto Body
900 N. 2nd East
Acceptance
Sign 11/13/2019