HomeMy WebLinkAboutWORK ACCEPTANCE FORM DAN'S PLUMBING - 23-00848 - Bear World - Jurassic Ceek Gift ShopContractor 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
Dan's plumbing
Tyler Teske
City
Ashton
State / Province / Region
ID
Postal / Zip Code
83420-0831
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
421 main street
Address Line 2
Po box 831
DANSPLUMBING93@GMAIL.COM 208 652 3281
208 200 0024
Plumbing 040493 4/30/2025 43,616.13$
Permit Information
Please enter in the following format: 00-00000
23-00848 Bear World
6010 south 4300 west rexburg, ID 83440
Acceptance
Sign 12/6/2023