HomeMy WebLinkAboutWORK ACCEPTANCE FORM THE PLUMBER INC - 21-00160 - 1354 Clover Ct - 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
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 7/30/2022 12,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00160 TABLEROCK MODEL
1354 CLOVER COURT
Acceptance
Sign 6/22/2021