HomeMy WebLinkAboutWORK ACCEPTANCE FORM REXBURG PLUMBING & HEATING - 21-00589 - Madison Armory - Indoor Gun RangeContractor 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 acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
Rexburg Plumbing and Heating
Rexburg Plumbing
City
REXBURG
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 759
Address Line 2
rexburgph@gmail.com 2083568770
Mechanical (HVAC)039671 9/30/2023 10,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00589 gun range
850 n 2nd e
Acceptance
Sign 9/20/2021