HomeMy WebLinkAboutWORK ACCEPTANCE FORM DB PLUMBING LLC - 21-00378 - Taco Bell - AdditionContractor 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
DB Plumbing LLC
Dixon Buttars
City
Franklin
State / Province / Region
Idaho
Postal / Zip Code
83237
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
654 South Lakeside Drive
Address Line 2
dbplumbingcompany@gmail.com 208-520-7307
Plumbing 033292 3/31/2024 30,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00378 Taco Bell
22 West main
Acceptance
Sign 7/12/2021