Mike Counsil Plumbing Authorization to Perform Work

Authorization to Perform Work

We request that you complete this Authorization to perform work. Please call us at (408) 840-2946 or email askmike@mcplumbing.com if you have any questions. We cannot perform work without this form filled out prior. Thank you for your cooperation.

Email *
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Date  & Time:  *
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Time
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(Client/Owner Name)
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Address where work will be performed  *

I am the owner of residence/business (address) stated above, am authorizing Mike Counsil Plumbing Inc to perform work on contract # (please list Contract # below)

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I am the owner of residence/business (address) stated above, am authorizing Mike Counsil Plumbing Inc to perform in the amount of (please list amount below)
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By Signing below, I authorize for the work to be completed and I agree to pay the above total. 
Signature is you initials
By entering your initials or entering your name you are effectively providing your signature,  indicating that all the information on this form is true and accurate, to the best of your knowledge.
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