HomeMy WebLinkAboutWORK ACCEPTANCE FORM J & B HEATING LLC - 21-00247 - 1133 Greenside Loop - New SFRContractor 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
J & B Heating LLC
Blair Singleton
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
jbsheating@gmail.com 2083130006
208-313-0006
Mechanical (HVAC)HVC-C-880 9/17/2023 16,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00247 Jack Sommer
1133 Greenside Loop
Acceptance
Sign 4/24/2023