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HomeMy WebLinkAboutWORK ACCEPTANCE FORM JM MECHANICAL - 19-00649 - Mountain View Clinic - 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 JM Mechanical LLC Heather Dowd City Hyde Park State / Province / Region Utah Postal / Zip Code 84318 Country USA Update new contact information that is not already on file with the City of Rexburg Street Address 3775 North 200 West Address Line 2 heather.dowd@jmmech.com 435-563-6267 Mechanical (HVAC)030308 11/30/2020 $ Permit Information Please enter in the following format: 00-00000 19-00649 Mountain View Clinic 404 North 2nd Ave Rexburg Acceptance Sign 11/6/2019