HomeMy WebLinkAboutWORK ACCEPTANCE FORM NELSON FIRE SYSTEMS - 19-00727 - Spori Annex - Ceramic & Sculpture LabsContractor 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
Nelson Fire Systems
Tadd Timothy
City
Salt Lake City
State / Province / Region
UT
Postal / Zip Code
84115
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1481 S Major St
Address Line 2
marisa@nelsonfire.com 8014688300
Fire Alarm ELE-C-3858 7/21/2021 18,700.00$
Permit Information
Please enter in the following format: 00-00000
19-00727 BYU-Idaho Spori Annex
525 S Center St, Rexburg, ID 83460
Acceptance
Sign 9/2/2020