HomeMy WebLinkAboutWORK ACCEPTANCE FORM SYSTEM TECH - 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
System Tech
Curtis Rye Guthrie
City
Boise
State / Province / Region
ID
Postal / Zip Code
83709
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2854 S Featherly Way
Address Line 2
rye@systemtech.us 2082407976
2082407976
Fire Alarm 025014 1/17/2022 4,200.00$
Permit Information
Please enter in the following format: 00-00000
20-00940 Walmart remodel
1450 N 2nd E, Rexburg, ID 83440
Acceptance
Sign 4/20/2021