HomeMy WebLinkAboutWORK ACCEPTANCE FORM DAN'S PLUMBING & HEATING - 19-00577 - 107 & 119 N 1st E - Ollie Manor - New MFRContractor 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
Dan's Plumbing
Tyler Teske
City
Ashton
State / Province / Region
ID
Postal / Zip Code
83420
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
421 Main Street
Address Line 2
PO Box 831
dansplumbing93@gmail.com 2086523281
2082000024
Plumbing 040493 4/30/2020 44,000.00$
Permit Information
Please enter in the following format: 00-00000
19-00577 Ollie Manor
111 N 1st E, Rexburg, ID 83440
Acceptance
Sign 5/13/2020