HomeMy WebLinkAboutWORK ACCEPTANCE FORM ARMSTRONG ELECTRIC - 19-00047 - 358 E 2nd S - Lincoln Elementary School - AdditionContractor 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
Armstrong Electric Inc
Dallas Armstrong
City
Idaho Falls
State / Province / Region
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1175 Hollipark
Address Line 2
armstrelec@aol.com 2085247192
2085300045
Electrical 14312C 7/31/2020 133,200.00$
Permit Information
Please enter in the following format: 00-00000
19-00047 Lincoln Elementary
358 East 2nd south
Acceptance
Sign 6/29/2020