HomeMy WebLinkAboutWORK ACCEPTANCE FORM RSJ MECHANICAL LLC - 20-00359 - 1149 Larch Dr - Hudson - 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
RSJ Mechanical, LLC
Ryan Wellard
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
4382 N Haroldsen Dr Building 1 Unit 8
Address Line 2
kimrsjmechanical@gmail.com 2085213764
208-521-9624
Mechanical (HVAC)031176 12/31/2020 10,000.00$
Permit Information
Please enter in the following format: 00-00000
00-00000 4 Pine Brook houses for AMS Homes
4 Pine Brook houses for AMS Homes
Acceptance
Sign 5/26/2020