HomeMy WebLinkAboutWORK ACCEPTANCE FORM THE PLUMBER - Teton River Flats Community HousingContractor 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
The Plumber, Inc
Marci Johnson
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83403
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 2195
Address Line 2
theplumberllc@yahoo.com 208-709-6214
Plumbing PLB-C-11430 7/31/2022 20,200.00$
Permit Information
Please enter in the following format: 00-00000
20-00744 Teton River Flats
B1 Loreen
Acceptance
Sign 6/7/2021