HomeMy WebLinkAboutWORK ACCEPTANCE FORM OMNI SECURISTY SYSTEMS INC - 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
Omni Security Systems Inc.
Eric B Salvesen
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3905 E 200 N
Address Line 2
eric.omniss@gmail.com 2083909131
208-390-9131
Fire Alarm RCE-1278 1/4/2024 $
Permit Information
Please enter in the following format: 00-00000
23-00170 Rexburg 10 Ward
411 University Blvd. Rexburg, ID 83440
Acceptance
Sign 6/8/2023