HomeMy WebLinkAboutWORK ACCEPTANCE FORM AUTOMATED MECHANICAL - 23-00856 - Mo'Bettahs Restaurant - 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
Automated Mechanical
Patrick Kinney
City
Ogden
State / Province / Region
UT
Postal / Zip Code
84401
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
1574 W 2650 South
Address Line 2
pkinney@automech.pro 801-525-9500
801-940-0886
Mechanical (HVAC)050402 11/30/2026 55,338.00$
Permit Information
Please enter in the following format: 00-00000
23-00856 Mobettahs
461 N 2nd East Rexburg, ID 83440
Acceptance
Sign 1/25/2024