HomeMy WebLinkAboutWORK ACCEPTANCE FORM INTERMOUNTAIN WIND AND SOLAR - 22-00404 - 35 S Hidden Valley Rd - 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
Marissa Cardona
City
Centerville
State / Province / Region
Utah
Postal / Zip Code
84014
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
1041 N 950 W, Suite 500
Address Line 2
permitting@imwindandsolar.com 8012985255
Electrical RCE-35970 9/12/2022 18,396.00$
Permit Information
Please enter in the following format: 00-00000
22-00404 Wilcken Solar Array
35 S Hidden Valley Rd, Rexburg, ID 83440
Acceptance
Sign 6/8/2022