HomeMy WebLinkAboutWORK ACCEPTANCE FORM COMFORT AIR DESIGN LLC - 19-00718 - Valleywide Coop/Forsgren - Commercial BuildingContractor 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
Comfort Air Design
Doug Johnson
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
2642 E 14 N
Address Line 2
wiemer@wiemerheating.com 208-523-3848
208-681-9078
Mechanical (HVAC)HVC-C-6052 9/30/2021 17,534.00$
Permit Information
Please enter in the following format: 00-00000
19-00718 Forsgren Engineering
1137 Summers Dr
Acceptance
Sign 8/17/2020