HomeMy WebLinkAboutWORK ACCEPTANCE FORM ALPHA PLUMBING - 18-00552 - 532 Woodbridge St - SFRContractor 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 acknowle dge that I am the indicate d contractor for the abov e me ntione d Pe rmit/Proje ct.
Signature Date
Contractor/Subcontractor
Alpha Plumbing Inc.
George Johnston
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
4274 East 300 North
Address Line 2
alphaplumbing66@gmail.com 208-760-0442
208-7600442
Plumbing 010455 2/28/2021 $
Permit Information
Please enter in the following format: 00-00000
18-00552 Alpha Plumbing Inc.
532 Woodbridge St.
Acceptance
Sign 5/8/2019