HomeMy WebLinkAboutWORK ACCEPTANCE FORM SYNERGY ELECTRIC SOLUTIONS, INC - 23-00134 - 141 Charles Place - New SFRContractor 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
Synergy Electric Solutions, Inc
Amy Jones
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
1 N Landmark Lane Suite 1
Address Line 2
amyj@sesid.us 2082285535
Electrical 018980 6/30/2024 20,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00134 Gunderson
141 Charles Pl
Acceptance
Sign 8/9/2023