HomeMy WebLinkAboutWORK ACCEPTANCE FORM JW ELECTRIC LLC - 20-00059 - 515 W 7th S Units 1 & 2 - New Duplex - Bldg 1Contractor 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
J W Electric LLC
Jared Wilde
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
515 W 7 S
Address Line 2
wildej20@gmail.com 208-313-2058
Electrical 013805 9/30/2020 $
Permit Information
Please enter in the following format: 00-00000
20-00059 JSM Construction
515 W 7 Sa
Acceptance
Sign 3/18/2020