HomeMy WebLinkAboutWORK ACCEPTANCE FORM DEPENDABLE HEATING & AIR CONDITIONING - 22-00692 - 917 Oak Hill Way - New SFRContractor 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
Dependable Heating & Air Conditioning
DENNIS HAYDEN
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
3480 N Flint Ave
Address Line 2
dependablehvac06@yahoo.com 2088217520
Mechanical (HVAC)hvc-c-1164 5/31/2024 15,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00692 Acacia
Lot 7 Block 4
Acceptance
Sign 9/18/2022