HomeMy WebLinkAboutWORK ACCEPTANCE FORM FREEDOM HEATING - 21-00260 - RP05N38E155429 - 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
Freedom Heatin
Rene Contreras
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83405
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 51966
Address Line 2
freedomheatinginc@yahoo.com 208-339-0605
Mechanical (HVAC)6127 9/19/2021 $
Permit Information
Please enter in the following format: 00-00000
21-00260 Stanger
RP05N38E155429
Acceptance
Sign 4/22/2021