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104 Castle Brewer Ct
r` CITY OF SANFOR ELECTRICAL PERMIT APPLICATION Permit Number: © a Date: 6-1N-'o2 The undersigned hereby applies for a permit to install the following electrical: Owner's Name: Sanford Housing Authority Address of Job: 10 L} 1 Castle Brewer Court Electrical Contractor: Ace Electrical Service, Inc. Residential: X Non -Residential: Number Amount Addition, Alteration, Repair Residential & Non -Residential New Residential: AMP Service New Commercial: AMP Service Chan a of Service: From AMP Service to AMP Service Manufactured Buildinq Other. Description of Work: Repairs to electrical branch circuits. e lace devices as needed. Application Fee: 10.00 TOTAL DUE: M. By Signing this application 1 am stating that 1 am in compliance with City of Sanford Electrical Code. Applicant's Signature EC0003144 State License Number