HomeMy WebLinkAboutWORK ACCEPTANCE FORM 24 HOUR HEATING - 22-00457 - Herndon Apartments - Walsh - Townhomes - 4 UnitsContractor 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
24 Hour Heating
Steven Dick
City
Sugar City
State / Province / Region
ID
Postal / Zip Code
83448
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
450 S Third St W
Address Line 2
24hourhtg@gmail.com 2087162219
Mechanical (HVAC)Hvc-c-6068 6/1/2024 15,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00457 Herndon Apartments - 4 Units
263 S 4th W
Acceptance
Sign 4/5/2024