HomeMy WebLinkAboutWORK ACCEPTANCE FORM WHEELER ELECTRIC, INC. - 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
Wheeler Electric, Inc.
Jerry Mitchell
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
Bonneville
Update new contact information that is not already on file with the City of Rexburg
Street Address
469 W 16th St
Address Line 2
jerrym@wheelerelectric.com 2085221906
2085890791
Electrical ELE-C-1950 7/31/2023 64,070.00$
Permit Information
Please enter in the following format: 00-00000
22-00523 NWFC Rexburg Expansion
1036 Erikson Dr
Acceptance
Sign 8/30/2022