HomeMy WebLinkAboutWORK ACCEPTANCE FORM SUMMERS PLUMBING INC - 23-00046 - 240 E Moody - Wendy's - New BuildingContractor 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
SUMMERS PLUMBING INC.
CASEY SUMMERS
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83401
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
844 DENNIS CIRCLE
Address Line 2
summersplbg@gmail.com 2083903570
Plumbing PLB-C-9243 6/30/2025 96,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00046 240 E. MOODY - WNEDY'S - NEW BUILDING
240 E. MOODY, REXBURG ID 83440
Acceptance
Sign 3/22/2023