HomeMy WebLinkAboutWORK ACCEPTANCE FORM MATHEWS PLUMBING & HEATING - 23-00732 - Good 2 Go - 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
Mathews Plumbing & Heating Inc.
Mike Balmforth
City
Shelley
State / Province / Region
ID
Postal / Zip Code
83274
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
342 South State Street
Address Line 2
mike@mathewsplumbing.net 208-357-3439
208-589-8395
Plumbing PLB-C-11778 2/28/2025 208,750.00$
Permit Information
Please enter in the following format: 00-00000
23-00732 Good 2 Go
Rexburg
Acceptance
Sign 12/11/2023