HomeMy WebLinkAboutWORK ACCEPTANCE FORM BRAD ARCHIBALD PLUMBING - 23-00193 - 1077 Cypress Loop - 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
Brad Archibald Plumbing
Brad Archibald
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
843 N 5th West
Address Line 2
archiplumb@hotmail.com 208-390-4460
208-390-4460
Plumbing PLBC-11486 9/30/2024 27,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00193 Dwight Wray House
1077 Cypress Loop, Rexburg, Idaho
Acceptance
Sign 5/11/2023