HomeMy WebLinkAboutWORK ACCEPTANCE FORM J&B HEATING - 21-00483 - 168 E 2nd S - 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
J & B Heating L.L.C.
Blair Singleton
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
3702 Taylor LN
Address Line 2
jbsheating@gmail.com 2083130006
Mechanical (HVAC)HVC-C-880 9/17/2022 $
Permit Information
Please enter in the following format: 00-00000
21-00483 Shawna Bohn
168 E 2nd S Rexburg, ID 83440
Acceptance
Sign 8/11/2021