HomeMy WebLinkAboutWORK ACCEPTANCE FORM AUTOMATIC FIRE SYSTEM SERVICES - 19-00729-740 - The Grove at Thomson Farms - Hickory - 30 Unit Bldg 6Contractor 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.
Jason Gilster
City
Missoula
State / Province / Region
MT
Postal / Zip Code
59801
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
300 S Catlin Suite #2
Address Line 2
Jason@afssmt.com 406-542-9119
458-221-8172
Fire Sprinkler FPSC-136 12/31/2019 390,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00729 Thomson Farms Apts.
397 Thomson Farms Rd.
Acceptance
Sign 12/23/2019