HomeMy WebLinkAboutWORK ACCEPTANCE FORM GL EDWARDS ELECTRIC - 20-00267 - 545 Henderson St - Ed Kirkpatrick - Solar PanelsContractor 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
GL Edwards Electric
Cole Farmer
City
Woods Cross
State / Province / Region
UT
Postal / Zip Code
84087
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1894 W 2425 S
Address Line 2
permitting@solgen.co 6615203079
Electrical ELE-C-27774 3/31/2021 57,663.00$
Permit Information
Please enter in the following format: 00-00000
20-00267 545 Henderson St - Ed Kirkpatrick - Solar Panels
545 Henderson St
Acceptance
Sign 4/27/2020