HomeMy WebLinkAbout42368603 PLUMBERS CONTRACTOR LICENSE APPLICATION - FIFE PLUMBINGCITY OF REXBURG
PLUMBER'S CONTRACTOR LICENSE
APPLICATION
NAME OF BUSINESS: f -P
ADDRESS: S- L�L
NAME OF PLUMBER:ADDRESS:
# Paid For
Master Plumber:
New ( ) Renewal
Journeyman's:
New ( ) Renewal
Apprentice:
TOTAL:
CERTIFICATE OF INSU
Fee '
For Year: % �^ •�' / y y (o
State of Idaho License Number.
Contractor: O 1995
a�t= l;,SUK`-
Journeyman: � %� -� �►��� 'UM_ �_„�„'<.'..
Apprentice :
5. G,
Signature:
- City Clerk
Signature: �v
Date
Plumbing nspector
PF --44
8/88
sm • 'Ni i2 A • • :• ■ so I Z 11 14 11 No I• (ilk.
'� • 1 � Y 1 �. "i D. Ot
That I,
DARWIN L. FIFE
P11MEIM :• • R
as Principal,
and WESTERN SURETY COMPANY , as Surety,
having its principal office in the city of SIOUX FALLS, SD , and authorized to
transact the business of Surety in the State of Idaho, are hereby held and firmly bound unto
the people of the State of Idaho, Obligee, in the sum of Two Thousand Dollars ($2,000.00),
for the payment of which sum, well and truly to be made, we jointly and severalty bind
ourselves, our heirs, executors, administrators, successors and assigns, firmly by these
presents.
Tim, said Principal has applied to the Idaho State Plumbing Board for a certificate of
competency, or for renewal of said certificate, to engage in the practice or work of a
plumbing contractor and
TSS, for the protection of the health and welfare of the people of the State of Idaho,
said Board has required under authority of 54-2606(c), Idaho Code, that said Principal shalt
furnish this compliance bond;
NOW, , the condition of this obligation is such that, if the said Principal shall
perform all plumbing work, whether personally or under his supervision, in accordance with
all provisions of the State plumbing standards and law and shalt indemnify owners or their
agents for costs incurred by them for making corrections after reasonable notice by said
Plumbing Board that corrections are ordered because of failure to comply with State
standards, and the regulations duly promulgated pursuant thereto, then the obligation shall
be void, otherwise to be in full force and effect;
Ih�f7�T1J11!D EKY#&"VM, that the aggregate liability of the Surety for a l l breaches of the
conditions of this bond, whether occurring during the period of the original license or any
and all renewals thereof, shall, in no event, exceed the sum of this bond.
TM T.TARTT.TTY OF TETE SU= upon this bond shall be and remain in full force and effect for
the full period of the license issued to the Principal above named, but not beyond
31, 19 96 1 or 60 days after receipt by the Obligee of a written notice signed by
such Surety, or its authorized agent, stating that the liability of such Surety is thereby
terminated and cancelled. Provided further, that nothing herein shall affect any rights or
Liabilities which shall have accrued under this bond prior to the date of such termination
and that the maximum liability of the Surety on the bond, regardless of the number of claims
filed against the bond shalt not exceed the sum of Two Thousand ($2,000.00) Dollars.
U s band may be extended for a further term by the of a
contirmation Certificate signed by the surety.
ANY owner or agent indemnified by this bond shall have a direct right of action hereon.
IN NIM41M WEIE=. the above named parties have executed this instrumnt this 20TH
COO day of JANUARY 1g 94 .
�DD WESTERN SURETY COMPANY
(Corporate Surety)
• ' SIOfJX-FLL�SD ,, ,
TODD R. MARY Aftofney-In-F
Countersigned b
SignedZ a -
A / � )-,! f/� �- 4 , 00
DARWIN L. FIF r t nc i pa l)
1652 !HEST 1000 SOUTH
--� REXBURG ID ie3MOness Address)
aho Resident Agent