HomeMy WebLinkAboutWORK ACCEPTANCE FORM MATHEWS PLUMBING & HEATING INC - 22-00457 - Herndon Apartments - Walsh - Townhomes - 4 UnitsContractor 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
Idaho
Postal / Zip Code
83274
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
PO Box 464
Address Line 2
mike@mathewsplumbing.net 208-357-3439
208-589-8395
Plumbing PLB-C-11778 2/28/2025 28,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00457 Herndon Apartments
263 South 4th West
Acceptance
Sign 3/27/2024