HomeMy WebLinkAboutWORK ACCEPTANCE FORM J&B HEATING LLC - 22-00080 - 1053 Cypress Loop - New SFR (2)Contractor 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 State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
jbsheating@gmail.com 2083130006
Mechanical (HVAC)HVC-C-880 9/29/2023 $
Permit Information
Please enter in the following format: 00-00000
22-00080 Matt Carmack
1053 Cypress Loop
Acceptance
Sign 8/9/2022