HomeMy WebLinkAboutWORK ACCEPTANCE FORM IDAHO FURNACE PLUMBING - 19-00396 - 157 N 2nd E - Tenant 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 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 Furnace Plumbing Source
Ernie Cruz
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1963 Walton Ave
Address Line 2
dispatch.ifps@gmail.com 208-521-0651
Mechanical (HVAC)026657 6/30/2022 $
Permit Information
Please enter in the following format: 00-00000
19-00396 Tenant Remodel for Call Center
157 N 2nd E
Acceptance
Sign 9/4/2019