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HomeMy WebLinkAboutWORK ACCEPTANCE FORM BINGHAM MECHANICAL - 20-00363 - BYUI Manwaring - RemodelContractor 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 Bingham Mechanical, Inc. Jason Olson City IDAHO FALLS State / Province / Region ID Postal / Zip Code 83402 Country US Update new contact information that is not already on file with the City of Rexburg Street Address 4400 S Yellowstone Hwy Address Line 2 jasonolson@binghammechanical.com 2085224484 2083136209 Plumbing PLB-C-10702 9/30/2022 23,700.00$ Permit Information Please enter in the following format: 00-00000 20-00363 BYUI Manwaring – Remodel 101 E Viking Dr Acceptance Sign 8/28/2020