HomeMy WebLinkAboutWORK ACCEPTANCE FORM DC ELECTRIC - 23-00697 - Chip Cookie - 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
DC Electric Inc.
Steven Clements
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2683 E 49th N
Address Line 2
steve@d-c-electric.com 208-552-1911
208-589-6021
Electrical ELE-C-3698 6/30/2024 28,500.00$
Permit Information
Please enter in the following format: 00-00000
23-00697 Chip Cookie
505 N 2nd E Suite 203
Acceptance
Sign 10/4/2023