HomeMy WebLinkAboutWORK ACCEPTANCE FORM J & B HEATING LLC - 23-00193 - 1077 Cypress 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
3702 Taylor Ln
Address Line 2
jbsheating@gmail.com 2083130006
Mechanical (HVAC)Hvc-c-880 9/17/2023 40,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00193 Dwight Wray
Pinebrook subdivision
Acceptance
Sign 5/10/2023