HomeMy WebLinkAboutWORK ACCEPTANCE FORM S&S ELECTRIC - 23-00046 - 240 E Moody - Wendy's - New BuildingContractor 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
S&S electric
Derik Sutton
City
Ririe
State / Province / Region
ID
Postal / Zip Code
83443
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
P.O. Box 434
Address Line 2
dsutton@sandselec.com 2083907877
Electrical 023524 7/31/2023 186,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00046 Wendys
240 E moody
Acceptance
Sign 3/6/2023