HomeMy WebLinkAboutWORK ACCEPTANCE FORM BINGHAM MECHANICAL, INC - 23-00037 - Rexburg Pediatrics - 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 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
jasonolson@binghammechanical.com 208-522-4484
208-313-6209
Plumbing PLB-C-10702 9/30/2025 95,200.00$
Permit Information
Please enter in the following format: 00-00000
23-00037 Rexburg Pediatric
404 N 2nd E/Rexburg, Idaho 83440
Acceptance
Sign 2/8/2023