HomeMy WebLinkAboutWORK ACCEPTANCE FORM CUTTING EDGE ELECTRIC - 22-00220 - Express Labs - 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
Cutting Edge Electric Inc
Brad Whitehead
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2011 Heyrend Way
Address Line 2
brad.cuttingedgeelectric@gmail.com 208-552-0387
208-360-1573
Electrical Ele-c-37825 10/31/2022 4,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00220 Express Labs - Remodel
859 Yellowstone Hwy suite 3202
Acceptance
Sign 4/27/2022