HomeMy WebLinkAboutWORK ACCEPTANCE FORM COMFORT AIR DESIGN DBA WIEMER HEATING - 19-00359 - 871 Jet Stream Dr - The Rock Gym - New CommercialContractor 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
Comfort Air Design dba Wiemer Heating
Greg
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 3761
Address Line 2
2642 E 14 N
erica@wiemerheating.com 208-523-3848
Mechanical (HVAC)HVC-C-6052 8/31/2021 26,577.00$
Permit Information
Please enter in the following format: 00-00000
19-00359 Rock Climbing Gym
871 Jet Stream
Acceptance
Sign 12/13/2019