HomeMy WebLinkAboutWORK ACCEPTANCE FORM B&M PLUMBING & HEATING - 19-00649 - Mountain View Clinic - 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
B & M Plumbing & Heating Inc
Benjamin Naylor
City
Bluffdale
State / Province / Region
Utah
Postal / Zip Code
84065
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Box 1374
Address Line 2
lisa@bmplumbing.net 8013025927
801-706-9581
Plumbing 006412 4/30/2022 $
Permit Information
Please enter in the following format: 00-00000
00-00000 Rexburg Clinic
Do not have address
Acceptance
Sign 4/7/2020