HomeMy WebLinkAboutWORK ACCEPTANCE FORM NELSON FIRE SYSTEMS - 21-00002 - BYUI Hart Building - Phase 3 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
Nelson Fire Systems
Marisa Taylor
City
Salt Lake City
State / Province / Region
UT
Postal / Zip Code
84115
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
1481 S Major St
Address Line 2
marisa@nelsonfire.com 801-468-8300
Fire Alarm ELE-C-3858 7/7/2021 22,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00002 BYUI Hart Building - Phase 3 Remodel
311 S 1st W, Rexburg ID
Acceptance
Sign 4/27/2021