HomeMy WebLinkAboutWORK ACCEPTANCE FORM HORIZON PWR - 21-00337 - 950 Westwood Dr - 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
HorizonPWR
Gavin Hoskins
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
237 N 2nd E
Address Line 2
HorizonPwr
gavin.hoskins@horizonpwr.com 2082529444
Limited Energy 56878 1/14/2022 28,894.00$
Permit Information
Please enter in the following format: 00-00000
21-00337 Gary Peck
950 Westwood Dr
Acceptance
Sign 5/18/2021