HomeMy WebLinkAboutWORK ACCEPTANCE FORM FIRST CALL JEWEL - 20-00506 - 218 Dividend Dr - Better Hearing and Audiology LLC - Electrical 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
First Call Jewel
Susan Elliott
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
1410 Hollipark
Address Line 2
permit@firstcalljewel.com 208-522-7963
Electrical ELE-C-23850 7/31/2020 2,639.00$
Permit Information
Please enter in the following format: 00-00000
20-00506 Better Hearing & Audiology
218 Dividend Dr.
Acceptance
Sign 7/1/2020