HomeMy WebLinkAboutWORK ACCEPTANCE FORM CENTENNIAL PLUMBING LLC - 22-00372 - Thomson Farms the Grove - ClubhouseContractor 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
Centennial Plumbing LLC
Jeremy Fyfe
City
Rexburg
State / Province / Region
ID - Idaho
Postal / Zip Code
83440
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 486
Address Line 2
jfyfe.centennialplumbing@hotmail.com 2083178702
Plumbing PLB-C-12504 8/31/2024 60,408.00$
Permit Information
Please enter in the following format: 00-00000
22-00372 Thomson Farms Clubhouse
472 N Yellowstone Hwy Rexburg, ID 83440
Acceptance
Sign 6/22/2022