HomeMy WebLinkAboutWORK ACCEPTANCE FORM NELSON FIRE SYSTEMS - 20-00363 - BYUI Manwaring - 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
Nelson Fire Systems
Tadd Timothy
City
Salt Lake City
State / Province / Region
UT
Postal / Zip Code
84115
Country
USA
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 ELEC-C-3858 7/31/2021 2,268.40$
Permit Information
Please enter in the following format: 00-00000
20-00363 BYU-Idaho Manwaring Remodel
525 South Center St
Acceptance
Sign 9/3/2020