HomeMy WebLinkAboutWORK ACCEPTANCE FORM FIRE SERVICES OF IDAHO - 21-00488 - Denny's - New Commercial BldgContractor 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
Fire Services Of Idaho
Doug Whiting
City
Chubbuck
State / Province / Region
Idaho
Postal / Zip Code
83202
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
610 Mallard
Address Line 2
doug@fireservicesofidaho.com 208-232-3640
208-251-0852
Fire Sprinkler 0 10/18/2023 3,210.00$
Permit Information
Please enter in the following format: 00-00000
21-00488 Denny's - New Commercial Building
585 N 2nd E.
Acceptance
Sign 10/18/2022