HomeMy WebLinkAboutWORK ACCEPTANCE FORM ORANGE ELECTRIC LLC - 22-00831 - Velocity Autobody - 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
Orange Electric LLC
Jean-Michel
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
587 Reagan Ave
Address Line 2
orangeelectric.knick@gmail.com (208) 740-9501
Electrical 024083 1/31/2024 $
Permit Information
Please enter in the following format: 00-00000
22-00831 Velocity Autobody - Remodel
265 W Main St Rexburg, ID 83440
Acceptance
Sign 2/3/2023