HomeMy WebLinkAboutWORK ACCEPTANCE FORM PROBST ELECTRIC INC - 22-00094 - Sunrise Village Apartments - Electrical MeterContractor 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
Probst Electric Inc.
Darren Hymas
City
Rupert
State / Province / Region
ID
Postal / Zip Code
83350
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
295 South Highway 24
Address Line 2
dhymas@probstelectric.com 208436-1461
2084810414
Electrical ELE2201-00092 11/30/2022 1,240.00$
Permit Information
Please enter in the following format: 00-00000
22-00094 Sunrise Village Meter Repair
48 w 2nd s Rexburg, ID 83440
Acceptance
Sign 2/14/2022