HomeMy WebLinkAboutWORK ACCEPTANCE FORMFRIST STREET PLUMBING MECHANICAL - 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 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
firststreetplumbing@gmail.com 2085226896
Mechanical (HVAC)HVC-C-587 4/30/2024 3,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00617 Twin pines apartments
160 n first west rexburg
Acceptance
Sign 5/9/2022