HomeMy WebLinkAboutWORK ACCEPTANCE FORM ARCHIBALD PLUMBING - 19-00292 - 53 E Main St - Sled Shed - Apartment 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
Archibald Plumbing
Brad Archibald
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
archiplumb@hotmail.com 208-390-4460
Plumbing 11486 9/30/2021 7,500.00$
Permit Information
Please enter in the following format: 00-00000
19-00292 Sled Shed Apartment
53 E Main
Acceptance
Sign 8/24/2020