HomeMy WebLinkAboutWORK ACCEPTANCE FORM WIEMER HEATING - 22-00385 - Tri-Steel - Commercial ShopContractor 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
Wiemer Heating
Doug Johnson
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83403
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 3761
Address Line 2
2642 E 14 N
erica@wiemerheating.com 208-523-3848
Mechanical (HVAC)049340 12/30/2023 80,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00385 Tri-Steel
4977 East Side Dr
Acceptance
Sign 2/1/2023