HomeMy WebLinkAboutWORK ACCEPTANCE FORM OMNI SECURITY SYSTEMS INC - 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
Omni Security Systems Inc.
Eric Salvesen
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
3905 E 200 N
Address Line 2
PO Box 309
eric.omniss@gmail.com 2087451020
2083909131
Fire Alarm 120163 8/1/2025 7,900.00$
Permit Information
Please enter in the following format: 00-00000
23-00332 Madison Jr High
134 Madison Ave
Acceptance
Sign 6/28/2023