HomeMy WebLinkAboutWORK ACCEPTANCE FORM JUDCO - MECHANICAL - 22-00356 - 126 Charles Place - New SFRContractor 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 2086241461
2083136247
Mechanical (HVAC)014820 4/30/2024 10,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00356 Nola Harris House
126 Charles Place
Acceptance
Sign 12/28/2022