HomeMy WebLinkAboutWORK ACCEPTANCE FORM NEXT ENERGY ALLIANCE - 19-00228 - 142 N 4th E - Solar PanelContractor 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 acknowle dge that I am the indicate d contractor for the abov e me ntione d Pe rmit/Proje ct.
Signature Date
Contractor/Subcontractor
Next Energy Alliance
Dan Conrad
City
Boise
State / Province / Region
ID
Postal / Zip Code
83716
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
2137 E. Summersweet Dr.
Address Line 2
permitting@nextenergyalliance.com 8019942350
Building 039825 2/20/2020 56,025.00$
Permit Information
Please enter in the following format: 00-00000
19-00228 Gibbs Solar Project
142 N. 4th E. Rexburg, ID 83440
Acceptance
Sign 4/25/2019