HomeMy WebLinkAboutWORK ACCEPTANCE FORM INTEGRITY FIRE AND SECUTIRY - 22-00523 - Northwest Farm Credit Services - 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
Integrity Fire and Security
Chris Schmidt
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
8007 E. 129 N.
Address Line 2
Chris@Integrityfire.com 208-516-8643
Electrical 044881 1/31/2023 9,761.00$
Permit Information
Please enter in the following format: 00-00000
22-00523 Northwest Farm Credit Services
1036 Erikson Dr
Acceptance
Sign 8/30/2022