HomeMy WebLinkAboutWORK ACCEPTANCE FORM ROCKY MOUNTAIN ELECTRIC - 19-00723 - 227 E Main - Mountain America Credit Union Office - Call CenterContractor 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
Rocky Mountain Electric, Inc.
Lee Boren
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
6698 N. 25th E.
Address Line 2
rmeidanet@gmail.com 208-589-6826
208-589-6826
Electrical 18230 3/31/2021 489,118.00$
Permit Information
Please enter in the following format: 00-00000
19-00723 Mountain America Credit Union Office- Call Center
227 E. Main Street
Acceptance
Sign 3/30/2020