HomeMy WebLinkAboutWORK ACCEPTANCE FORM INTERMOUNTAIN WIND & SOLAR - 21-00972 - 643 Mill Stream St - 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 acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
Intermountain Wind and Solar LLC
Kilee Russell
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
1953 W 2425 S
Address Line 2
permitting@imwindandsolar.com 8012985255
Electrical RCE-35970 9/12/2022 30,660.00$
Permit Information
Please enter in the following format: 00-00000
21-00972 Li Solar Array
643 Mill Stream St, Rexburg, ID 83440
Acceptance
Sign 12/3/2021