HomeMy WebLinkAboutWORK ACCEPTNACE FORM VIKING AUTOMATIC SPRINKLER - 20-00508 - Sugar Salem Jr High - FA - FSContractor 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
Viking Automatic Sprinkler Co.
Brett Lawatch
City
Nampa
State / Province / Region
ID
Postal / Zip Code
83687
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2022 N. Elder St.
Address Line 2
brett.lawatch@vikingsprinkler.net 2088882762
Fire Sprinkler FPSC-003 12/31/2022 284,432.00$
Permit Information
Please enter in the following format: 00-00000
20-00508 Sugar Salem Jr High School
E 3rd St
Acceptance
Sign 2/2/2022