HomeMy WebLinkAboutWORK ACCEPTANCE FORM TORCH PLUMBING - 20-00039 - 335 Yale Ave- Basement RemodelContractor 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
Torch plumbing inc.
Jeff Hackworth
City
Sugar City
State / Province / Region
Idaho
Postal / Zip Code
83448
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
P. O. Box 174
Address Line 2
torchplb@gmail.com 208-200-3862
Plumbing Plb-c-12552 8/31/2021 $
Permit Information
Please enter in the following format: 00-00000
20-00049 335 Yale
335 Yale
Acceptance
Sign 2/24/2020