HomeMy WebLinkAboutWORK ACCEPTANCE FORM J&B HEATING LLC - 19-00577 - 107 & 119 N 1st E - Ollie Manor - New MFRContractor 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
J & B Heating LLC
Blair Singleton
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3702 Taylor Ln
Address Line 2
jbsheating@gmail.com 2083130006
Mechanical (HVAC)HVC-C-880 9/30/2022 $
Permit Information
Please enter in the following format: 00-00000
19-00577 Ollie Manor
111 N 1st E
Acceptance
Sign 5/13/2020