HomeMy WebLinkAboutWORK ACCEPTANCE FORM WIEMER HEATING - 22-00292 - Chad Erickson - New Commercial BldgContractor 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
Wiemer Heating
Doug
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83403
Country
US
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 3761
Address Line 2
erica@wiemerheating.com 208-523-3848
Mechanical (HVAC)049340 12/29/2023 29,930.00$
Permit Information
Please enter in the following format: 00-00000
22-00292 Erickson
309 Profit
Acceptance
Sign 6/21/2023