HomeMy WebLinkAboutWORK ACCEPTANCE FORM 3-D FIRE PROTECTION - 23-00156 - BYUI Benson Rooms 252-254 - 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
3-D Fire Protection
Sam Page
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
sam.page@3dfire.us 208-223-3532
Fire Sprinkler FPSC-008 12/31/2023 15,294.00$
Permit Information
Please enter in the following format: 00-00000
23-00156 BYU-I Benson Classrooms 252-254Remodel
525 South Center Street, Rexburg, ID 83460
Acceptance
Sign 4/10/2023