HomeMy WebLinkAboutWORK ACCEPTANCE FORM NEAL'S HEATING & COOLING - 21-00849 - 1370 Stone Dr - Remodel & Deck AdditionContractor 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
Neal's Heating & Cooling
Neal Josephson
City
Sugar City
State / Province / Region
ID
Postal / Zip Code
83448
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 142
Address Line 2
wildwire12@gmail.com 208-201-1192
Mechanical (HVAC)015905 7/31/2021 1,500.00$
Permit Information
Please enter in the following format: 00-00000
21-00849 1370 Stone Dr - Remodel & Deck Addition
1370 Stone Dr
Acceptance
Sign 12/7/2021