HomeMy WebLinkAboutWORK ACCEPTANCE FORM ASHTON HILL ELECTRIC LLC - 20-00039 - 335 Yale Ave- Basement RemodelContractor 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
Ashton Hill Electric LLC
Steve Hill
City
Ashton
State / Province / Region
Id
Postal / Zip Code
83420
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 703
Address Line 2
1398 N 4000 E
ashtonhillelectric@gmail.com 2082709271
Electrical 012056 3/31/2021 15,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00039 Angie McOmber
335 Yale ave
Acceptance
Sign 4/17/2020