HomeMy WebLinkAboutWORK ACCEPTANCE FORM JUDCO, INC. - 22-00218 - 155 & 171 Charles Place - New SFR - Twin HomeContractor 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
Judco, Inc.
Misty Crain
City
Saint Anthony
State / Province / Region
ID
Postal / Zip Code
83445
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2453 E 400 N
Address Line 2
mcjudco@gmail.com 2083136247
Mechanical (HVAC)014820 4/30/2025 $
Permit Information
Please enter in the following format: 00-00000
22-00218 Charles Place Duplex
155 Charles & 171 Charles
Acceptance
Sign 8/30/2022