HomeMy WebLinkAboutWORK ACCEPTANCE FORM HORIZON PWR - 21-00342 - Teton Lakes Golf Course - 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
Permitting Team
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
permitting@horizonpwr.com 2082529444
8884687180
Electrical 051666 2/28/2023 23,002.38$
Permit Information
Please enter in the following format: 00-00000
21-00342 Teton Lakes Golf Course – Solar panels
722 N 12th W, Rexburg, ID 83440
Acceptance
Sign 6/28/2022