HomeMy WebLinkAbout1020 S Elm St 01-1065 Electrical Permit ApplicationCITY OF SANFORD ELECTRICAL A PPLI ATION
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PERMIT NO. v ` DATE:
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING ELECTRICAL WORK:
OWNER'S NAME: M C)lJ n n
ADDRESS OF JOB: I O 2-0 W J ev
ELECTRICAL CONTRACTOR: Do ItArd- C—^'+RES 7?47NON-RES
Subject to rules and regulations of the city electrical code:
By signing this application I am stating I am in com fiance wi the 'ty Elec cal CAde
Applicant's Signature
6-&006 -y6
States Liaasto
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number:Do9—/045 Date: A1118 OZ
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: A Ol .1 bT!
Address of Job: - oo /V X/U r
Electrical Contractor:
Residential: !><— Non -Residential:
umber I Amount
Addition, Alteration, Repair (Residential & Non-Residentia
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Se
Manufactured Building
Other:
Description of Work:
wa L
1d
Application Fee: $10.00
TOTAL DUE: -An.OD
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
plican 's Signat
E C oonco 03 3
State License Number