HomeMy WebLinkAboutWORK ACCEPTANCE FORM RONN ALLEN ELECTRIC - 20-00038 - 490 First American Cir - Rudd & Company - New CommercialContractor 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
Ronn Allen Electric
Mike Jensen
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
505 west 20 th street
Address Line 2
mike.raelectric@yahoo.com 2085209421
Electrical ele-c-3118 5/31/2020 117,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00038 Rudd and comany
490 First American circle
Acceptance
Sign 3/18/2020