HomeMy WebLinkAboutWORK ACCEPTANCE FORM DC ELECTRIC - 20-00417 - Harbor Freight - Outer Shell 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
D.C. Electric, Inc.
Steve Clements
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83403
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
2683 E 49th N
Address Line 2
P.O. Box 3118
steve@d-c-electric.com 208-552-1911
208-589-6021
Electrical ELE-C-3698 6/30/2021 67,350.00$
Permit Information
Please enter in the following format: 00-00000
20-00417 Harbor Freight
530 N 2nd East Rexburg Idaho
Acceptance
Sign 7/17/2020