HomeMy WebLinkAboutWORK ACCEPTANCE FORM SEI ELECTRIC INC - 21-00159 - Searle Heart & Associates - 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
SEI Electric, Inc.
K. Joe Denning
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83403
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 3865
Address Line 2
seielectric@yahoo.com 208-709-0569
Electrical ELE-C-31431 5/31/2021 $
Permit Information
Please enter in the following format: 00-00000
21-00159 SCC- Searle Heart and Associate
412 Grand Loop
Acceptance
Sign 3/26/2021