HomeMy WebLinkAboutWORK ACCEPTANCE FORM THE PLUMBER - 21-00434 - 1268 Stone Dr - 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
The Plumber, Inc
Michael Spears
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83110
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 208-851-1140
Plumbing PLB-C-11430 7/31/2022 14,005.00$
Permit Information
Please enter in the following format: 00-00000
21-00263 New Peak Homes
1248 Stone Dr.
Acceptance
Sign 5/18/2021