HomeMy WebLinkAboutWORK ACCEPTANCE FORM WACHTER INC - 20-00940 - Walmart - 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
Wachter Inc
Bradley Botteron
City
Lenexa
State / Province / Region
Kansas
Postal / Zip Code
66219
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
16001 W 99th St
Address Line 2
onlinepermits@wachter.com 9135412500
Electrical ELEC-C-28455 9/30/2021 55,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00940 Walmart Remodel
1450 North 2nd East Rexburg, ID 83440
Acceptance
Sign 3/25/2021