HomeMy WebLinkAboutWORK ACCEPTANCE FORM 3-D FIRE PROTECTION - 22-00007 - 253 W 2nd S - Sundance Bldg CContractor 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 acknowle dge that I am the indicate d contractor for the abov e me ntione d Pe rmit/Proje ct.
Signature Date
Contractor/Subcontractor
3-D Fire Protection
Austin Niederer
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83402
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
6312 S. Burggraf Way
Address Line 2
austin.niederer@3dfire.us 208-716-7001
Fire Sprinkler FPSC-008 12/31/2021 200,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00188 Sundance Appartments
266 West 3rd South, Rexburg, ID 83440
Acceptance
Sign 8/16/2021