HomeMy WebLinkAboutWORK ACCEPTANCE FORM ALPINE HEATING & AIR CONDITIONING, INC - 22-00232 - Teton Radiology - RemodelContractor 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
Alpine Heating & Air Conditioning, Inc.
Derek Anglin
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
170 North Eastern Avenue
Address Line 2
Melissa@alpineheatingair.com 2085235542
Mechanical (HVAC)HVC-C-3258 1/31/2025 85,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00232 Teton Radiology - MRI Remodel
425 E 4th N
Acceptance
Sign 8/9/2022