HomeMy WebLinkAboutWORK ACCEPTANCE FORM NELSON ELECTRIC LLC - 22-00039 - Rexburg Idaho LDS Temple - 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
Nelson Electric LLC
Greg Nelson
City
Menan
State / Province / Region
ID
Postal / Zip Code
83434
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
P.O. Box 142
Address Line 2
greg@nelson-electricllc.com 208-390-3424
Electrical ELE-38127 11/30/2022 274,221.00$
Permit Information
Please enter in the following format: 00-00000
22-00039 Rexburg Temple Remodel
750 S 2nd E
Acceptance
Sign 4/6/2022