HomeMy WebLinkAboutWORK ACCEPANCE FORM RPMS ELECTRIC LLC - 22-00924 - Madison Middle School - 575 W 7th S - SignContractor 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
Rpms electric llc
Mitchell Sullivan
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
Usa
Update new contact information that is not already on file with the City of Rexburg
Street Address
306 S 3rd w
Address Line 2
rpmselectricllc@gmail.com 208-716-8584
Electrical 043906 10/31/2023 2,750.00$
Permit Information
Please enter in the following format: 00-00000
22-00924 Madison Middle School Marquee
575 w 7 s, Rexburg
Acceptance
Sign 9/18/2023