HomeMy WebLinkAboutWORK ACCEPTANCE FORM DC ELECTRIC INC - 21-00725 - Iron Horse RV - Interior FinishContractor 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 acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
D.C. Electric, Inc.
Steve Clements
City
IDAHO FALLS
State / Province / Region
Idaho
Postal / Zip Code
83401
Country
Bonneville
Update new contact information that is not already on file with the City of Rexburg
Street Address
2683 E 49th N
Address Line 2
STEVE@D-C-ELECTRIC.COM 208-552-1911
208-589-6021
Electrical ELE-C-3698 6/30/2022 $
Permit Information
Please enter in the following format: 00-00000
21-00725 Iron Horse RV
1076 S 12th W Rexburg Idaho
Acceptance
Sign 10/12/2021