HomeMy WebLinkAboutWORK ACCEPTANCE FORM HORIZON PWR - 22-00339 - Rawlings Ventures - 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
HorizonPWR
Jacob Thomas
City
Rexburg
State / Province / Region
Idaho
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
permitting@horizonpwr.com 8884687180
Electrical 051666 2/28/2023 57,500.00$
Permit Information
Please enter in the following format: 00-00000
22-00339 Rawlings Ventures - Solar Panels
217 N 2nd E
Acceptance
Sign 5/25/2022