HomeMy WebLinkAboutWORK ACCEPTANCE FORM SPRINTER HEATING & AIR - 19-00749 - 722 S 2470 W - Summerfield ClubhouseContractor 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
Sprinter Heating and Air
Justin Johnson
City
Rigby
State / Province / Region
Idaho
Postal / Zip Code
83442
Country
U.S.
Update new contact information that is not already on file with the City of Rexburg
Street Address
3846 e 100 n
Address Line 2
Po Box 810
justin@sprinterheating.com 208-745-7226
208-313-5859
Mechanical (HVAC)HVC-C-1391 2/28/2021 150,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00749 Summerfield Club house
3000 w 850 s
Acceptance
Sign 4/9/2020