HomeMy WebLinkAboutWORK ACCEPTANCE FORM J & B HEATING - 23-00405 - 1151 McJon Ln - 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
Blair Singleton
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
jbsheating@gmail.com 208-313-0006
Mechanical (HVAC)HVC-C-880 9/30/2025 $
Permit Information
Please enter in the following format: 00-00000
23-00405 1151 McJon Ln - New SFR
1151 McJon Ln
Acceptance
Sign 7/27/2023