HomeMy WebLinkAboutWORK ACCEPTANCE FORM MOUNTAIN VALLEY ELECTRIC - 23-00732 - Good 2 Go - New Commercial BldgContractor 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
83224
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3880 W 200 N
Address Line 2
office@mountainvalleyelectric.com 12082280775
12083172291
Electrical 021047 10/31/2024 398,476.00$
Permit Information
Please enter in the following format: 00-00000
23-00732 Good to go
1055 south 12th west
Acceptance
Sign 12/27/2023