HomeMy WebLinkAboutWORK ACCEPTANCE FORM SUMMERS PLUMBING INC - 23-00605 - Dutch Bros - 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
SUMMERS PLUMBING INC.
CASEY SUMMERS
City
IDAHO FALLS
State / Province / Region
ID
Postal / Zip Code
83401-0000
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
844 DENNIS CIRCLE
Address Line 2
summersplbg@gmail.com 2083903570
208-221-3837
Plumbing PLB-C-9243 6/30/2025 68,500.00$
Permit Information
Please enter in the following format: 00-00000
23-00605 Dutch Bros Coffee
855 W. Main St. Rexburg, ID 83440
Acceptance
Sign 4/22/2024