HomeMy WebLinkAboutWORK ACCEPTANCE FORM FIRE SERVICES OF IDAHO - 17-00476 - 591 Turin Way - Cantamere - Bldg 15 (27) - CondoContractor 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
Fire Services of Idaho
Kenny Maynard
City
Chubbuck
State / Province / Region
Idaho
Postal / Zip Code
83202
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
610 Mallard St
Address Line 2
Kenny@fireservicesofidaho.com 2082323640
Fire Alarm 032032 2/28/2021 3,276.00$
Permit Information
Please enter in the following format: 00-00000
17-00476 Cantamere #15
591 Turin Way
Acceptance
Sign 4/24/2020