HomeMy WebLinkAboutWORK ACCEPTANCE FORM DIAMOND K PLUMBING & HEATING - 21-00159 - Searle Heart & Associates - 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
Diamond K Plumbing and Heating
Kyle R. Williams
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
5119 W 5000 N
Address Line 2
kwillia77@gmail.com 2083133388
Mechanical (HVAC)HVC-C1357 3/31/2022 3,000.00$
Plumbing PLB-C-11622 3/31/2022 3,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00159 Hart and Searle
412 Grand Loop Rexburg Idaho 83440
Acceptance
Sign 3/25/2021