HomeMy WebLinkAboutWORK ACCEPTANCE FORM HOLDEN ELECTRIC & HVAC SERVICE - 21-00638 - Casa de Ochoa - 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 acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
Holden Electric and HVAC Service
Mike Holden
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83406
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
3020 Teton Street
Address Line 2
holdenelectric15@gmail.com 208-716-4625
Mechanical (HVAC)022335 4/30/2024 2,500.00$
Permit Information
Please enter in the following format: 00-00000
21-00638 Casa De Ochoa
383 S 2nd W Rexburg Idaho
Acceptance
Sign 9/13/2021