HomeMy WebLinkAboutWORK ACCEPTANCE FORM RSJ MECHANICAL - 21-00230 - 934 W 7th S - 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
RSJ Mechanical, LLC
RSJ Mechanical, LLC
City
Idaho Falls
State / Province / Region
Idaho
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
4382 N Haroldsen Dr Bld 1 Unit 8
Address Line 2
rsjmechanical@yahoo.com 2085213764
Mechanical (HVAC)031176 12/30/2022 22,180.00$
Permit Information
Please enter in the following format: 00-00000
21-00230 Tyler Martin
934 W 7th S
Acceptance
Sign 1/12/2022