HomeMy WebLinkAboutWORK ACCEPTANCE FORM MOUNTAIN VALLEY ELECTRIC - 20-00393 - Crapo Apartment - Duplex to 4-Plex 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
MOUNTAIN VALLEY ELECTRIC
Zach Giles
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
458 N 4000 E SUITE 3
Address Line 2
zach@mountainvalleyelectric.com 2083907163
2083907163
Electrical 021047 10/31/2021 26,822.00$
Permit Information
Please enter in the following format: 00-00000
20-00393 crapo apartments
150 E 2nd south
Acceptance
Sign 10/20/2020