HomeMy WebLinkAboutWORK ACCEPTANCE FORM DYNAMIC PLUMBING LLC - 22-00059 - Java EspressContractor 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
Dynamic Plumbing LLC
Josh Taylor
City
Twin Falls
State / Province / Region
Idaho
Postal / Zip Code
83303
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 2683
Address Line 2
josh@dynamicplumbingllc.com 2086139600
2086132600
Plumbing 039180 1/31/2025 51,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00059 Java Espress
565 North 2nd E
Acceptance
Sign 11/23/2022