HomeMy WebLinkAboutWORK ACCEPTANCE FORM LIMITLESS ELECTRIC - 22-00755 - 1196 Castle Pines Rd - New SFRContractor 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
Limitless Electric
Kegan Miller
City
Saint Anthony
State / Province / Region
ID
Postal / Zip Code
83445
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2748 East 500 North
Address Line 2
limitlesselectric1@gmail.com 2087164926
Electrical 046460 10/31/2023 35,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00755 Gordon Speakman
1196 Castle Pines RD
Acceptance
Sign 1/2/2023