HomeMy WebLinkAboutWORK ACCEPTANCE FORM PACKER ELECTRIC - 23-00170 - Rexburg 10 Ward LDS MeetinghouseContractor 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
Packer Electric
calvin packer
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
4101E 49N
Address Line 2
calvin@packerelectric.com 2086817807
Electrical ELC-C-2116 7/31/2023 819,888.00$
Permit Information
Please enter in the following format: 00-00000
23-00170 LDS Chapel 10th ward
411 University Boulevard, Rexburg, Idaho
Acceptance
Sign 6/6/2023