HomeMy WebLinkAboutWORK ACCEPTANCE FORM BINGHAM MECHANICAL INC - 19-00047 - 358 E 2nd S - Lincoln Elementary School - AdditionContractor 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
Bingham Mechanical, Inc.
Jason Olson
City
Idaho Falls
State / Province / Region
United States
Postal / Zip Code
83402
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
4400 S Yellowstone Hwy
Address Line 2
jasonolson@binghammechanical.com 2085224484
Plumbing PLB-C-10702 9/30/2019 76,800.00$
Permit Information
Please enter in the following format: 00-00000
19-00047 Lincoln Elementary Addition
358 E 2nd S
Acceptance
Sign 6/20/2019