HomeMy WebLinkAboutWORK ACCEPTANCE FORM ROCKY MOUNTAIN BOILER INC - 19-00409 - 2413 N 3000 W - Hibbard Elementary School - Boiler ReplacementContractor 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
Rocky Mountain Boiler, Inc
Colleen McMurtrey
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
4161 N Haroldsen Dr
Address Line 2
colleenm@rockymountainboiler.com 2085217345
Mechanical (HVAC)030875 5/31/2021 66,450.00$
Permit Information
Please enter in the following format: 00-00000
19-00409 HIBBARD ELEM BOILER REPLACEMENT
2413 N 3000 W
Acceptance
Sign 7/11/2019