HomeMy WebLinkAboutWORK ACCEPTANCE FORM BINGHAM MECHANICAL, INC - 23-00156 - BYUI Benson Rooms 252-254 - 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.
Jake 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
jakeo@binghammechanical.com 2085224484
2083130736
Plumbing plb-c-10702 9/30/2025 34,800.00$
Permit Information
Please enter in the following format: 00-00000
23-00156 BYU-I Benson Room#252
525 S. Center St. Rexburg, ID 83460
Acceptance
Sign 4/5/2023