HomeMy WebLinkAboutWORK ACCEPTANCE FORM FINISH LINE PLUMBING - 23-00693 - Sterling Medical - New Commercial BldgContractor 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
Finish Line Plumbing
Kent Spencer
City
Ammon
State / Province / Region
Idaho
Postal / Zip Code
83406
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1081 Midway ave
Address Line 2
finishlineplumbing1@gmail.com 2082274002
Plumbing 022691 12/31/2024 42,500.00$
Permit Information
Please enter in the following format: 00-00000
23-00693 Sterling Medical
260 East moody
Acceptance
Sign 12/6/2023