HomeMy WebLinkAboutWORK ACCEPTANCE FORM MOUNTAIN WEST MECHANICAL CO INC - 23-00170 - Rexburg 10 Ward LDS MeetinghouseContractor 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
MOUNTAIN WEST MECHANICAL CO INC
Justin Hill
City
Rexburg, ID
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
2336 W 5200 S
Address Line 2
justin@mwmdirect.com 2083904207
Plumbing PLB-C-11590 12/31/2024 246,515.00$
Permit Information
Please enter in the following format: 00-00000
23-00170 Rexburg 10 Ward Meetinghouse
411 University Blvd. Rexburg ID 83440
Acceptance
Sign 6/7/2023