HomeMy WebLinkAboutWORK ACCEPTANCE FORM DR HEATING MECHANICAL - 22-00736 - Madison High School - Broadcast BoothContractor 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
DR Heating and Plumbing
Angel Ruiz
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
info@drtheatingandplumbing.com 2083569331
Mechanical (HVAC)HVC-C-5600 8/31/2023 15,612.00$
Permit Information
Please enter in the following format: 00-00000
22-00736 Madison Baseball Booth
2300 University Blvd
Acceptance
Sign 10/17/2022