HomeMy WebLinkAboutWORK ACCEPTANCE FORM OFF GRID ENERGY SOULTIONS LLC - 23-00908 - Aveyo Solar - AdditionContractor 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
Off Grid Energy Solutions LLC
Brian Meyers
City State / Province / Region
Postal / Zip Code Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
Address Line 2
meyersbd21@gmail.com 208-243-6701
Electrical 062812 4/30/2025 65,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00908 Aveyo Solar - Addition
460 W 4th S
Acceptance
Sign 1/14/2025