HomeMy WebLinkAboutWORK ACCEPTANCE FORM OMNI SECURITY SYSTEMS INC - 22-00630 - Bodifi - AdditionContractor 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
OMNI SECURITY SYSTEMS INC
MARK PETTICHORD
City
RIGBY
State / Province / Region
IDAHO
Postal / Zip Code
83442
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3905 E 200 N RIGBY
Address Line 2
PO BOX 309
MARK.OMNISS@GMAIL.COM 2087451-2-
2083902296
Fire Alarm RCE-1278 1/4/2024 1,900.00$
Permit Information
Please enter in the following format: 00-00000
22-00630 BODIFI
730 W 7th S
Acceptance
Sign 2/27/2023