HomeMy WebLinkAboutWORK ACCEPTANCE FORM RPMS ELECTRIC - 21-00426 - Red 8 Asian Cuisine and Sushi Bar - RemodelContractor 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
RPMS Electric llc
Mitchell Sullivan
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
318 S 3rd west
Address Line 2
Apt1
sullmitw7@gmail.com 2087168584
Electrical 043906 10/31/2022 7,500.00$
Permit Information
Please enter in the following format: 00-00000
21-00426 Red 8 Asian Cuisine and Sushi Bar
469 N 2nd E
Acceptance
Sign 3/22/2022