HomeMy WebLinkAboutWORK ACCEPTANCE FORM JM MECHANICAL - 21-00951 - Righteous Slice - New OvenContractor 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
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
Mechanical (HVAC)030308 11/30/2023 8,250.00$
Permit Information
Please enter in the following format: 00-00000
21-00951 Richteous Slice
175W 2ns S
Acceptance
Sign 12/6/2021