HomeMy WebLinkAboutWORK ACCEPTANCE FORM IF DUCTLESS HEATING & AIR - 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
IF Ductless Heating & Air
BRIAN DAVID MEDRAIN
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83402
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
480 N. Utah Ave
Address Line 2
ifductless@gmail.com 2088816202
2088211433
Mechanical (HVAC)009906 4/15/2023 3,900.00$
Permit Information
Please enter in the following format: 00-00000
19-00360 Jeanette Evans
1112 Horizon
Acceptance
Sign 4/23/2020