HomeMy WebLinkAboutWORK ACCEPTANCE FORM ASHTON HILL ELECTRIC LLC - 23-00426 - Chocolate Plunge (Dippin Bar)- RemodelContractor 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
Ashton Hill Electric LLC
Steve Hill
City
ASHTON
State / Province / Region
ID
Postal / Zip Code
83420
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 703
Address Line 2
1398 N 4000 E
ashtonhillelectric@gmail.com 2082709271
Electrical 012056 3/31/2024 3,500.00$
Permit Information
Please enter in the following format: 00-00000
23-00426 Dippin Bar
155 west main #3
Acceptance
Sign 7/17/2023