HomeMy WebLinkAboutWORK ACCEPTANCE FORM RAY'S HEATING, PLUMBING, & ELECTIRC - 21-00308 - 4902 Honey Locust Ln - New SFR MechanicalContractor 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
Ray's Heating, Plumbing, Electric Inc.
James Infanger
City
Salmon
State / Province / Region
IDAHO
Postal / Zip Code
83467
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2 Rays Ln
Address Line 2
jimbob@raysheating.com 2087563649
Mechanical (HVAC)HVC-C1068 12/31/2022 20,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00308 BEN YOUNG
4902 HONEY LOCUST LN, REXBURG, ID 83440
Acceptance
Sign 1/18/2022