HomeMy WebLinkAboutWORK ACCEPTANCE FORM FREEDOM HEATING AND AIR - 21-00211 - 4155 Ruby St - Shop and 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
Freedom Heating and air
Renea Contreras
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83405
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
P O Box 51966
Address Line 2
FreedomHeatingInc@yahoo.com 208-589-2396
208-589-2396
Mechanical (HVAC)hvc-c-6127 9/30/2024 30,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00211 Gary Wight
4155 Ruby St Rexburg ID 83440
Acceptance
Sign 4/18/2022