HomeMy WebLinkAboutWORK ACCEPTANCE FORM SNAKE RIVER PLUMBING - 20-00211 - Dayton - 1092 Cypress Loop - New SFRContractor 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
Snake River Plumbing LLC
Lyle Gardner
City
Teton
State / Province / Region
ID
Postal / Zip Code
83451
Country
US
Update new contact information that is not already on file with the City of Rexburg
Street Address
P.O. Box 300 38 So. 1st East
Address Line 2
algardner@blackfoot.net 2084584127
208-709-4127
Plumbing plb-c-10644 5/31/2021 16,000.00$
Permit Information
Please enter in the following format: 00-00000
20-00211 New Home Plb
1092 Cypress Loop
Acceptance
Sign 5/27/2020