HomeMy WebLinkAboutWORK ACCEPTANCE FORM LIMITLESS ELECTRIC - 22-00933 - Teton Lakes Golf Course - Basement 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
Limitless Electric
Kegan Miller
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
limitlesselectric1@gmail.com 208-716-4926
Electrical 050330 11/30/2025 1,500.00$
Permit Information
Please enter in the following format: 00-00000
22-00933 Teton Lakes Golf Course - Basement Remodel
722 N 12th W
Acceptance
Sign 6/4/2025