HomeMy WebLinkAboutWORK ACCEPTANCE FORM MOUNTAIN VALLEY ELECTRIC - 23-00669 - Tagg N Go - Car WashContractor 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
Mountain valley electric
Jayson Thompson
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
3880 E 200 N
Address Line 2
office@mountainvalleyelectric.com 208-228-0775
208-317-2291
Electrical 021047 10/31/2024 299,088.00$
Permit Information
Please enter in the following format: 00-00000
23-00669 Tag and go
1365 North 2nd East
Acceptance
Sign 12/5/2023