HomeMy WebLinkAbout103 Sweet Gvm CtCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: Date:
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: G h a L P,,,,
Address of Job: 1 0 3 S w e- e t V C
Electrical Contractor: ofPsS!'o. a jEle, S'Qev.`«'s ,rr
Residential: X Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
fG te s -
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
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Applicant's Signature
C79 ()O / V- / o S
State License Number
I