HomeMy WebLinkAboutWORK ACCEPTANCE FORM WESTLAND ELECTRIC INC - 23-00856 - Mo'Bettahs Restaurant - 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
Westland Electric, Inc DBA WEI Electric
Jolene Jackson
City
Nephi
State / Province / Region
UT
Postal / Zip Code
84648
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3310 N Old Hwy 91
Address Line 2
Suite 11
info@westlandele.com 801-465-3642
Electrical 015455 6/30/2024 70,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00856 Mo'Bettah's
461 N 2nd E, Rexburg, ID 83440
Acceptance
Sign 1/2/2024