HomeMy WebLinkAboutWORK ACCEPTANCE FORM JV SERVICES - 19-00360 - 1112 Horizon Dr - New SFRContractor 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
Jv Services Inc.
Jorden
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83406
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1039 Midway AVE
Address Line 2
jvservices12@gmail.com 2089704640
Mechanical (HVAC)009906 4/30/2020 $
Permit Information
Please enter in the following format: 00-00000
19-00360 Paul Evens
1112 Horizon Dr. Rexburg IDAHO 83440
Acceptance
Sign 4/21/2020