HomeMy WebLinkAboutWORK ACCEPTANCE FORM MOUNTAIN VALLEY ELECTRIC - 22-00839 - Teton Lakes Golf Course - Fiber Hut - Bldg 1Contractor 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
Mountain Valley Electric
Zach Giles
City
Rigby
State / Province / Region
Idaho
Postal / Zip Code
83442
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3880 E 200 N
Address Line 2
zach@mountainvalleyelectric.com 2082280775
2083907163
Electrical 021047 10/31/2023 224,881.00$
Permit Information
Please enter in the following format: 00-00000
22-00839 IT Fiber Huts
Rexburg ID
Acceptance
Sign 4/17/2023