HomeMy WebLinkAboutWORK ACCPETANCE FORM SUMMERS PLUMBING INC - 19-00780 - 500 N 2nd E - DL Evans BankContractor 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
SUMMERS PLUMBING INC.
CASEY SUMMERS
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
844 DENNIS CIRCLE
Address Line 2
summersplbg@gmail.com 2083903570
208-221-3837
Plumbing RCE-12095 8/3/2020 49,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00780 DL EVANS BANK
500 N. 2ND E.
Acceptance
Sign 2/27/2020