HomeMy WebLinkAbout112 Country PlCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: Date: o a
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name:
Address of Job:
Electrical Conti
Residential: ^ Non -Residential:
FL
By Signing this application I am stating that 1 am in compliance with City of Sanford Electrical Code.
Appli ure
State License Number
GADocuments\LMTED POWER OF ATTORNEY.doc
LIMITED POWER OF ATTORNEY
I hereby authorize
Of U, -e IaL I C,_
To sign his/her name on my behalf in order to apply for a
chard Jason Deese
State of Florida
Orange County
The foregoinginstrument was acknowledged before me this 3 day of 20 oZ— by M4"+ +
17rc4-e (name of person acknowlegdging,) ignature
Qt l`T to . -ubli .StB%a—M7orida) RAMONKARAMOS
r
MY COMMISSION A DD 059303 EXPIRES:
September23, 2005 ]I, Print,
V
Personallyknownor produced identification Type
of identification produced GADocuments\
LHv TED POWER OF ATTORNEY.doc