HomeMy WebLinkAboutWORK ACCEPTANCE FORM TRICO REALTY & INVESTMENT - 22-00427 - Yellowstone Resort - RV Park - Electrical/PlumbingContractor 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
TRICO REALTY & INVESTMENT
JERRY BALDWIN
City
SALT LAKE CITY
State / Province / Region
UT
Postal / Zip Code
84020
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
194 W 12650 SOUTH STE 100
Address Line 2
trico.jerryb@gmail.com 7013892568
701 389 2568
Plumbing RCE-54338 3/26/2023 $
Permit Information
Please enter in the following format: 00-00000
22-00427 Yellowstone Resort RV Park
2000 South & 12 West
Acceptance
Sign 6/21/2022