HomeMy WebLinkAboutWORK ACCEPTANCE FORM JUDCO - 23-00641 - 1366 Stone Dr - 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 State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
mcjudco@gmail.com 208-624-2461
Mechanical (HVAC)014820 4/30/2025 20,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00641 RX01366 Stone
1366 Stone Drive
Acceptance
Sign 3/25/2024