HomeMy WebLinkAboutWORK ACCEPTANCE FORM HIGH COUNTRY HEATING & AIR - 23-00730 - Clubhouse Dental - New Commercial BldgContractor 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
High Country Heating & air
andrew boyle
City
idaho falls
State / Province / Region
id
Postal / Zip Code
83401
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
11187 n moonbeam dr
Address Line 2
andrew@highcountryheat.com 208-821-1288
Mechanical (HVAC)073778 3/31/2027 24,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00730 clubhouse dental
11 Sawtelle Ave
Acceptance
Sign 5/30/2024