HomeMy WebLinkAboutWORK ACCEPTANCE FORM FINISHLINE PLUMBING - 21-00367 - 526 S Teton Ave - Gas LineContractor 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
Finishline Plumbing
Kent M Spencer
City
Ammon
State / Province / Region
ID
Postal / Zip Code
83406
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1081 Midway Ave.
Address Line 2
Finishlineplumbing1@gmail.com 2082274002
Plumbing 022691 12/20/2021 $
Permit Information
Please enter in the following format: 00-00000
00-00000 Fernando Rodriguez
526 south teton ave. Sugar city Idaho,
Acceptance
Sign 5/20/2021