HomeMy WebLinkAboutWORK ACCEPTANCE FORM BOILDER INC - 23-00697 - Chip Cookie - RemodelContractor 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
B&S Boiler Inc.
Kyle Anderson
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
B&S Boiler Inc.
Address Line 2
1555 W. Sunnyside
kyle@bsboiler.net 2085241737
2085894157
Mechanical (HVAC)HVC-C-5115 11/30/2024 8,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00697 CHIP Cookie
505 N 2nd E Suite 203
Acceptance
Sign 10/5/2023