HomeMy WebLinkAboutWORK ACCEPTANCE FORM COOLSYS COMMERCIAL & INDUSTRIAL - 23-00763 - Walmart - MechanicalContractor 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
Coolsys Commercial & Industrial
Bruce Bachman
City
Brea
State / Province / Region
CA
Postal / Zip Code
92821
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
145 S. State College Blvd, Ste 200
Address Line 2
bbachman@coolsys.com 208-243-1522
Mechanical (HVAC)041602 7/31/2025 1,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00763 Walmart #1878
1450 N. 2nd East
Acceptance
Sign 10/25/2023