HomeMy WebLinkAboutWORK ACCEPTANCE FORM ARMSTRONG ELECTRIC - 20-00273 - Madison High School Field HouseContractor 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.
Gina Armstrong
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1175 Hollipark Dr
Address Line 2
armstrelec@aol.com 2085247192
Electrical ELE-C-14312 7/31/2021 282,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00273 Madison field house
2300 University Blvd. Rexburg ID
Acceptance
Sign 9/25/2020