HomeMy WebLinkAboutWORK ACCEPTANCE FORM PRECISION ELECTRICAL SERVICES - 23-00332 - Madison Jr High - 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
Precision Electrical Services
Darren Carlton
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
darren@pes-electric.com 2086045986
7754507344
Electrical 039902 3/31/2024 165,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00332 Madison Jr High Addition
134 Madison Ave.
Acceptance
Sign 6/1/2023