HomeMy WebLinkAboutWORK ACCEPTANCE FORM TORCH PLUMBING INCORPORATED - 23-00426 - Chocolate Plunge (Dippin Bar) - 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
Torch plumbing incorporated
Jeff Hackworth
City
Sugar City
State / Province / Region
ID
Postal / Zip Code
83448
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
P.O. Box 174
torchplb@gmail.com 2082003862
Same
Plumbing Plb-c-12552 8/31/2024 $
Permit Information
Please enter in the following format: 00-00000
23-00426 Dippin bar
Rexburg
Acceptance
Sign 7/11/2023