HomeMy WebLinkAboutWORK ACCEPTANCE FORM BINGHAM MECHANICAL - 21-00250 - BYUI Manwaring Center Activities & Involvement - 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 R Olson
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83402
Country
United States
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 12085224484
Plumbing PLB-C-10702 9/30/2022 23,700.00$
Permit Information
Please enter in the following format: 00-00000
21-00250 BYU-Idaho MC Activities Center
525 S Center Street, Rexburg, Idaho
Acceptance
Sign 6/2/2021