HomeMy WebLinkAboutWORK ACCEPTANCE FORM JC WEST ELECTRIC - 23-00862 - Tagg N Go - Temp ServiceContractor 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
JC West Electric
Ian McDonald
City
Salt Lake City
State / Province / Region
UT
Postal / Zip Code
84115
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
224 W Plymouth Ave # 5
Address Line 2
ianmredlineec@gmail.com 3857706042
Electrical 066780 10/31/2024 $
Permit Information
Please enter in the following format: 00-00000
23-00862 Temp 1
1365 N 2nd E
Acceptance
Sign 11/22/2023