HomeMy WebLinkAboutWORK ACCEPTANCE FORM BINGHAM MECHANICAL, INC - 22-00532 - BYUI Print & Disability Services - 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
Bingham Mechanical, Inc.
Jason Olson
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
4400 S YELLOWSTONE HWY
Address Line 2
jasonolson@binghammechanical.com 12085224484
Plumbing PLB-C-10702 9/30/2022 14,100.00$
Permit Information
Please enter in the following format: 00-00000
22-00532 BYUI Print and Disability TI
101 E Viking Dri., Rexburg, Idaho
Acceptance
Sign 9/22/2022