HomeMy WebLinkAboutWORK ACCEPTANCE FORM 3D-FIRE - 22-00674 - BYUI Kimball 170, 224, 250 - 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
3D-FIRE
Nicolas Soza
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
Nicolas.Soza@3dfire.us 208-541-0223
Fire Sprinkler FPSC-008 12/31/2022 14,677.00$
Permit Information
Please enter in the following format: 00-00000
22-00674 KIMBALL 244 2022 RENOVATION
283 UNIVERSITY OPERATIONS BUILDING
Acceptance
Sign 9/14/2022