HomeMy WebLinkAboutWORK ACCEPTANCE FORM A-1 STOVE & FIREPLACE - 20-00523 - 2442 Hendricks Cir - New SFR MechanicalContractor 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
A-1 Stove & Fireplace
Scott Wessel
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
2005 E First St
Address Line 2
a1stove@yahoo.com 12085292698
Mechanical (HVAC)HVC-J-1064 9/30/2021 7,200.00$
Permit Information
Please enter in the following format: 00-00000
20-00523 Tingey
2442 Hendricks Ln. Rexburg, Id
Acceptance
Sign 7/6/2020