HomeMy WebLinkAboutWORK ACCEPTANCE FORM FIRST STREET PLUMBING - 21-00617 - Twin Pines Apartments - RemodelContractor 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
First Street PLumbing
Tom Gifford
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83401
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
345 1st Street
Address Line 2
firststreetplumbing@gmail.com 2085226896
Plumbing PLB-C-9925 4/30/2022 35,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00617 Twin Pines
160 N First West, Rexburg ID 83440
Acceptance
Sign 9/22/2021