HomeMy WebLinkAboutWORK ACCEPTANCE FORM WHEELER ELECTRIC - 21-00551 - City of Rexburg - Nature Park - RestroomContractor 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
Wheeler Electric, Inc.
Heath Blackburn
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
469 W 16th St
Address Line 2
accounting@wheelerelectric.com 208-522-1906
208-390-1021
Electrical ELE-C-1950 7/31/2022 32,880.00$
Permit Information
Please enter in the following format: 00-00000
21-00551 Nature Park Parking Lot
5th W & 3rd N
Acceptance
Sign 8/10/2021