HomeMy WebLinkAboutWORK ACCEPTANCE FORM HILLS PLUMBING & HEATING - 21-00029 - 857 Oak Hill Way - 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
Hills plumbing and heating
Bryce Hill
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83401-5880
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2245 Fieldstone Dr
Address Line 2
hills_ph@hotmail.com 2085213315
208-821-7274
Plumbing PLB 11645 1/20/2021 10,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00028 Vantage Point
Oak Hill Dr.
Acceptance
Sign 1/20/2021