HomeMy WebLinkAboutWORK ACCEPTANCE FORM JM MECHANICAL - 21-00208 - Goldenwest Credit Union - Branch OfficeContractor 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
JM Mechanical, LLC
Heather Dowd
City
Hyde Park
State / Province / Region
UT
Postal / Zip Code
84318
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3775 N 200 W
Address Line 2
heather@jmmech.com 4359940523
4359940523
Mechanical (HVAC)030308 11/30/2023 62,850.00$
Permit Information
Please enter in the following format: 00-00000
21-00208 Goldenwest Credit Union - Branch Office
855 University Blvd
Acceptance
Sign 8/9/2021