HomeMy WebLinkAboutWORK ACCEPTANCE FORM CENTENNIAL PLUMBING - 23-00761 - 709 N 12th W - New SFR - MEPContractor 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
Jeremy Fyfe
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
PO Box 486
Address Line 2
jfyfe.centennialplumbing@hotmail.com 208-317-8702
Plumbing PLB-C-12504 8/31/2024 30,205.00$
Permit Information
Please enter in the following format: 00-00000
23-00761 Perez
709 N 12 W Rexburg, ID 83440
Acceptance
Sign 10/27/2023