HomeMy WebLinkAboutWORK ACCEPTANCE FORM IDAHO AIR INNOVATIONS - 19-00258 - 7875 S 1800 W - Commercial MechanicalContractor 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 acknowle dge that I am the indicate d contractor for the abov e me ntione d Pe rmit/Proje ct.
Signature Date
Contractor/Subcontractor
Idaho Air Innovations
Drake Strickler
City
Filer
State / Province / Region
Idaho
Postal / Zip Code
83328
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1019 W 5TH ST
Address Line 2
ddst@idahoairinnovations.com 2087496179
Mechanical (HVAC)022551 2/28/2022 8,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00258 Richard Mason
7875 S 1800 W
Acceptance
Sign 6/19/2019