HomeMy WebLinkAboutWORK ACCEPTANCE FORM BG ELECTRIC LLC - 21-00321 - Crush Artisanal Drinks - 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
BG Electric LLC
Bart Webster
City
Victor
State / Province / Region
Idaho
Postal / Zip Code
83455
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
333 W 5500 S
Address Line 2
bgelectric@silverstar.com 2083137412
Electrical ele-c-4018 8/31/2022 10,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00321 crush drinks
156 west main suite # 5
Acceptance
Sign 8/26/2021