HomeMy WebLinkAboutWORK ACCEPTANCE FORM PRECISION ELECTRICAL SERVICES - 21-00467 - Encompass Health - 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
Precision Electrical Services LLC
Joe Wilson
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83406
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3370 Circle S Dr
Address Line 2
joe@pes-electric.com 2086045986
Electrical 039902 2/28/2022 1,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00467 Encompass Health
859 S Yellowstone #201 Rexburg, ID 83440
Acceptance
Sign 7/7/2021