HomeMy WebLinkAboutWORK ACCEPTANCE FORM J&B HEATING - 21-00355 - 7 E 2nd N - ShopContractor 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
J & B Heating LLC
Blair Singleton
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
Madison
Update new contact information that is not already on file with the City of Rexburg
Street Address
3702 Taylor LN
Address Line 2
jbsheating@gmail.com 2083130006
Mechanical (HVAC)HVC-C-880 9/17/2022 $
Permit Information
Please enter in the following format: 00-00000
21-00355 Ryan Sutton
7 E 2nd N
Acceptance
Sign 1/3/2022