HomeMy WebLinkAboutWORK ACCEPTANCE FORM DOUBLE DIAMOND PLUMBING - 23-00856 - Mo'Bettahs Restaurant - 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
Double Diamond Plumbing LLC
Brendan Weekes
City
Rexburg
State / Province / Region
Id
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
7621 W 4000 S
Address Line 2
brendanweekes7@gmail.com 2083901611
Plumbing 070003 12/31/2026 70,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00856 Mo Bettahs
461 N 2nd E Rexburg ID 83440
Acceptance
Sign 1/9/2024