HomeMy WebLinkAboutWORK ACCEPTANCE FORM FIRE CONTROL SPRINKLER SYSTEMS INC - 22-00046 - Dickenson Frozen Foods - Fire SprinklerContractor 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
Fire Control Sprinkler Systems, Inc.
Jeremy L. Himmerich
City
Spokane
State / Province / Region
Washington
Postal / Zip Code
99207
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2830 N Hogan
Address Line 2
jeremy@fcontrol.com 5094891444
Fire Sprinkler RCE-2109 12/14/2022 420,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00046 DICKENSON FROZEN FOODS
805 W 3RD S
Acceptance
Sign 1/21/2022