HomeMy WebLinkAboutWORK ACCEPTANCE FORM 24 HOUR HEATING - 20-00489 - Rockwell House - 4 PlexContractor 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
Steve Dick
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
24hourhtg@gmail.com 208-372-2166
Mechanical (HVAC)HVC-C-6068 5/31/2027 200,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00489 Rockwell House - 4 plex
431 S 2nd W
Acceptance
Sign 1/16/2026