HomeMy WebLinkAboutWORK ACCEPTANCE FORM SUPREME PLUMBING - 21-00753 - 832 Oak Hill Cir - 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 acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
SUPREME PLUMBING LLC
JUAN LUNA
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
SUPREMEPLUMBING208@YAHOO.COM 208-4971270
208-4971270
Plumbing 020475 2/28/2025 12,500.00$
Permit Information
Please enter in the following format: 00-00000
21-00753 DE LA CRUZ
832 OAK HILL CIR
Acceptance
Sign 3/7/2022