HomeMy WebLinkAboutWORK ACCEPTANCE FORM RIVERS EDGE ELECTRIC - 22-00065 - Elite Storage Bldg 5Contractor 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
Rivers Edge Electric
Quinn Christensen
City
Rigby
State / Province / Region
Idaho
Postal / Zip Code
83442
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
97 N Cambridge Dr.
Address Line 2
rivers.edge.elec@gmail.com 2087169328
Electrical 039577 2/28/2023 10,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00065 Elite Storage
1044 N 2nd Rexburg, ID 83440
Acceptance
Sign 3/9/2022