HomeMy WebLinkAboutWORK ACCEPTANCE FORM WIEMER HEATING - 21-00148 - 3972 Jake Way - Bowen Commercial BuildingContractor 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
Wiemer Heating
Greg
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83403
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 3761
Address Line 2
2642 E 14 N
erica@wiemerheating.com 2085233848
Greg 208-716-0048
Mechanical (HVAC)049340 12/29/2022 46,600.00$
Permit Information
Please enter in the following format: 00-00000
21-00148 Bridger Bowen
3972 Jake Way
Acceptance
Sign 9/3/2021