HomeMy WebLinkAboutWORK ACCEPTANCE FORM NEWTON PLUMBING - 19-00749 - 722 S 2470 W - Summerfield ClubhouseContractor 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
Newton Plumbing
Jeremy Newton
City
Rigby
State / Province / Region
ID
Postal / Zip Code
83442
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
4660 E mallard Dr
Address Line 2
newtonplumbing@hotmail.com 2085691126
2085691126
Plumbing PLB-C-10656 8/31/2022 15,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00749 Summerfield Clubhouse
3000 W 850 S Rexburg, ID 83440
Acceptance
Sign 4/30/2020