HomeMy WebLinkAboutWORK ACCEPTANCE FORM SUNNYSIDE ELECTRIC LLC - 21-00741 - 950 Westwood Dr - AdditionContractor 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
Sunnyside Electric, LLC
Jeff Weimer
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83406
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1486 Curlew Drive Apt 132
Address Line 2
sunnysideelectricllc@gmail.com 2082430417
Electrical 024691 12/27/2022 8,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00741 950 Westwood Dr.
950 Westwood Dr.
Acceptance
Sign 12/29/2021