HomeMy WebLinkAboutWORK ACCEPTANCE FORM PLATINUM SOLAR LLC - 23-00501 - 363 E 2nd S - 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
PLATINUM SOLAR LLC
CAMERON CHRISTENSEN
City
LOGAN
State / Province / Region
UT
Postal / Zip Code
84321
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
953 W 700 N, SUITE 112
Address Line 2
permitting@platinumsolar.com 4355541435
435-554-1435
Building 059595 5/31/2024 $
Electrical 058867 3/31/2025 $
Permit Information
Please enter in the following format: 00-00000
23-00501 STEVEN DRESSEN
363 E 2ND S, REXBURG, ID 83440
Acceptance
Sign 7/27/2023