HomeMy WebLinkAboutWORK ACCEPTANCE FORM NELSON FIRE SYSTEMS - 20-00866 - BYUI Engineering Technology Center (ETC) - 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 South Major St
Address Line 2
marisa@nelsonfire.com 8014688300
Fire Alarm ELE-C-3858 7/31/2021 38,720.00$
Permit Information
Please enter in the following format: 00-00000
20-00866 BYUI ETC
525 South Center St
Acceptance
Sign 6/8/2021