HomeMy WebLinkAboutWORK ACCPETANCE FORM B&S BOILER - 21-00725 - Iron Horse RV - Interior FinishContractor 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
B&S Boiler Inc.
Kyle Anderson
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
Bonneville
Update new contact information that is not already on file with the City of Rexburg
Street Address
1555 W. Sunnyside
Address Line 2
kyle@bsboiler.net 208-524-1737
208-589-4157
Mechanical (HVAC)HVC-C-5115 11/30/2021 270,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00725 Iron Horse RV
1076 S 12th W Rexburg ID
Acceptance
Sign 10/18/2021