HomeMy WebLinkAboutWORK ACCEPTANCE FORM BARKERS PRO HEATING & AIR/MATHEW'S PLUMBING & HEATING - 22-00755 - 1196 Castle Pines Rd - 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
Barkers Pro Heating and Air / Mathew’s Plumbing and
Heating
Wayland Barker
City
Saint Anthony
State / Province / Region
Idaho
Postal / Zip Code
83406
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
443 N Juniper Lane
Address Line 2
barkersproheatingandair@gmail.com 208-715-0227
208-715-0137
Mechanical (HVAC)HVC-C-2147 4/10/2024 10,500.00$
Permit Information
Please enter in the following format: 00-00000
22-00755 Gordon speakman
Rexburg
Acceptance
Sign 4/3/2023