HomeMy WebLinkAboutWORK ACCEPTANCE FORM ARCHIBALD PLUMBING - 20-00762 - 1228 Horizon Dr - Wheeler - 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
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
archiplub@hotmail.com 20-390-4460
Plumbing PLBC-11486 9/30/2021 $
Permit Information
Please enter in the following format: 00-00000
20-00762 Jared Wheeler SFR
Valley View Div. 6 Ph. 2 - Lot 1 Blk 9
Acceptance
Sign 9/29/2020