HomeMy WebLinkAboutWORK ACCEPTANCE FORM HOTWIRE ELECTRIC - 19-00708 - Reeser - 1196 Torrey Ln - New 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
HOTWIRE ELECTRIC LLC
BLAISE KAUER
City
IDAHO FALLS
State / Province / Region
IDAHO
Postal / Zip Code
83406
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3270 E 17TH #234
Address Line 2
hotwireelectricllc@gmail.com 208-535-0337
208-604-1871
Electrical ELE-C-34487 12/1/2020 9,500.00$
Permit Information
Please enter in the following format: 00-00000
19-00708 DAVID REESER
1194 TORREY LN
Acceptance
Sign 11/22/2019