HomeMy WebLinkAboutWORK ACCEPTANCE FORM ACE HEATING - 19-00528 - 57 College Ave - Gas LineContractor 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
Ace Heating Inc.
Mike Mencke
City
IDAHO FALLS
State / Province / Region
Idaho
Postal / Zip Code
83404
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
P.O. Box 1686
Address Line 2
mencke1@gmail.com 2085246620
208-589-6601
Mechanical (HVAC)HVC-C-5620 9/30/2020 1,500.00$
Permit Information
Please enter in the following format: 00-00000
19-00528 Gas line test
57 College Ave
Acceptance
Sign 9/10/2019