HomeMy WebLinkAboutWORK ACCEPTANCE FORM ARMSTRONG ELECTRIC - 23-00173 - Beehive Federal Credit UnionContractor 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
Armstrong Electric
Dallas Armstrong
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States of America
Update new contact information that is not already on file with the City of Rexburg
Street Address
1175 Hollipark Drive
Address Line 2
armstrelectric@gmail.com 2085300045
2085300045
Electrical ELE-C-14312 7/31/2023 170,500.00$
Permit Information
Please enter in the following format: 00-00000
23-00173 Beehive Federal Credit Union - North Rexburg
220 East Moody Road
Acceptance
Sign 5/11/2023