HomeMy WebLinkAboutWORK ACCEPTANCE FORM NELSON FIRE SYSTEMS - 21-00983 - BYUI Clarke Building - Fire AlarmContractor 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
Nelson Fire Systems
Marisa Taylor
City
Salt Lake City
State / Province / Region
UT
Postal / Zip Code
84115
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
1481 S Major St
Address Line 2
marisa@nelsonfire.com 8014688300
Fire Alarm ELEC-C-3858 7/31/2022 62,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00983 BYUI Clarke Building - Fire Alarm
290 S 1st E
Acceptance
Sign 12/8/2021