HomeMy WebLinkAboutWORK ACCEPTANCE FORM GL EDWARDS ELECTRIC - 20-00345 - 741 S 2275 W - 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
LeRoy Edwards
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
1132 Crecent Dr
Address Line 2
permitting@solgen.co 6615203079
Electrical ELE-C-27774 3/31/2021 2,664.00$
Permit Information
Please enter in the following format: 00-00000
20-00345 741 S 2275 W - Solar Panels
741 S 2275 W
Acceptance
Sign 5/21/2020