HomeMy WebLinkAboutWORK ACCEPTANCE FORM TATE'S PLUMBING - 23-00324 - Yellowstone RV - Clubhouse OnlyContractor 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
Tate's Plumbing
Cody Tate
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
tatesplumbing@gmail.com 521-8929
Plumbing 017991 6/30/2026 32,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00324 Yellowstone RV Clubhouse
2125 W 2000 S
Acceptance
Sign 2/6/2024