HomeMy WebLinkAboutWORK ACCEPTANCE FORM DR HEATING & PLUMBING - 23-00173 - Beehive Federal Credit Union (2)Contractor 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
DR Heating & Plumbing
Wyatt Phipps
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
United States of America
Update new contact information that is not already on file with the City of Rexburg
Street Address
418 North 4014 East
Address Line 2
Suite #4
wyatt@drheatingandplumbing.com 2085691582
2085691582
Mechanical (HVAC)HVC-C-5600 8/31/2023 58,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00173 Beehive Federal Credit Union - North Rexburg
220 East Moody Road
Acceptance
Sign 5/11/2023