HomeMy WebLinkAboutWORK ACCEPTANCE FORM 3-D FIRE PROTECTION - 21-00765 - BYUI Manwaring Center Academic Advising - 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 acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
3-D Fire Protection
Austin Niederer
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83402
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
6312 S. Burggraf Way
Address Line 2
austin.niederer@3dfire.us 12087167001
Fire Sprinkler FPSC-008 12/31/2021 30,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00765 BYU-I Academic Advising
525 S Center St, Rexburg, ID 83460
Acceptance
Sign 11/12/2021