HomeMy WebLinkAboutWORK ACCEPTANCE FORM WESTERN STEEL ERECTORS LLC - 21-00372 - Crown Castle/T-Mobile Cleartalk - Cell TowerContractor 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
Western Steel Erectors LLC
Eric Arrington
City
EAGLE ID
State / Province / Region
Idaho
Postal / Zip Code
83616
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
8877 N SPANGLER PL
Address Line 2
eric@wse-llc.com 208-880-7238
Building RCE-37429 6/6/2022 12,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00372 SL01406A
320 Barney Dairy Rd, Rexburg ID 83440
Acceptance
Sign 12/3/2021