HomeMy WebLinkAboutWORK ACCEPTANCE FORM WIL POWER ELECTRIC LLC - 21-00055 - 941 Oak Hill Way - New SFRContractor 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
Wil-Power Electric LLC
Bryan Wilson
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83405
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
P.O.Box 52071
Address Line 2
bwwilpowerelectric@gmail.com 2082062739
Electrical 027695 8/31/2021 $
Permit Information
Please enter in the following format: 00-00000
21-00055 Haney Residence
941 oak hill way
Acceptance
Sign 1/28/2021