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HomeMy WebLinkAboutWORK ACCEPTANCE FORM NELSON ELECTRIC - 21-00304 - BYUI McKay Building - Fan WallContractor 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 Electric, LLC Karren Nelson City Menan State / Province / Region ID Postal / Zip Code 83434 Country United States Update new contact information that is not already on file with the City of Rexburg Street Address PO Box 142 Address Line 2 karren@nelson-electricllc.com 2087549389 Electrical 21-00304 11/30/2021 28,150.53$ Permit Information Please enter in the following format: 00-00000 21-00304 BYU-Idaho McKay HVAC Fan Wall Replacement BYU-Idaho Campus Acceptance Sign 5/13/2021