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HomeMy WebLinkAboutWORK ACCEPTANCE FORM FREEDOM HEATING - 21-00789 - Rocky Mountain Power - Mechanic 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 Freedom Heating, Inc. Claudia Martinez City Idaho Falls State / Province / Region ID Postal / Zip Code 83401 Country United States 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 2083390605 Mechanical (HVAC)Hvc-c-6127 9/24/2024 19,000.00$ Permit Information Please enter in the following format: 00-00000 21-00789 Stamped Plans 170 W 2nd N Acceptance Sign 6/9/2022