HomeMy WebLinkAboutWORK ACCEPTANCE FORM IDAHO AIR INNOVATIONS - 19-00158 - 121 E Main St Suite 1 & 2 - Port of Subs - Build-OutContractor 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 Air Innovations
Drake L Strickler
City
Filer
State / Province / Region
ID
Postal / Zip Code
83328
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1019 W 5th St.
Address Line 2
ddst@idahoairinnovations.com 208-749-6179
Mechanical (HVAC)022551 2/28/2022 9,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00158 Port of Subs
121 W. Main St. Rexburg ID 83440
Acceptance
Sign 3/3/2020