HomeMy WebLinkAboutWORK ACCEPTANCE FORM ELECTRIC CONSTRUCTION AND SALES LLC - 22-00332 - Rexburg RM Office - 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
Electric Construction and Sales LLC
Alan Hill
City
Pocatello
State / Province / Region
Idaho
Postal / Zip Code
83201
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
856 S.2nd Ave.
Address Line 2
Suite A
ahillecs@gmail.com 2082349999
Electrical 029237 2/28/2023 4,437.00$
Permit Information
Please enter in the following format: 00-00000
22-00332 Rexburg FM Office
434 E 2nd N, Rexburg, Idaho 83440
Acceptance
Sign 8/8/2022