HomeMy WebLinkAbout112 W 2 St (2)CITY OF SANF,OORD ELECTRICAL APPLICATION
PERMIT NO. O / ' /Q 7 r DATE: Fte ?4 co
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING ELECTRICAL WORK:
OWNER'S NAME:
ADDRESS OF JOB: 11Z 1-o 41CL
ELECTRICAL CONTRACTOR: A 1K F- ttf-41 C— RES NON-RES
Subject to rules and regulations of the city electrical code:
By signing this application I am stating I an in compliance with the City Electrical Code
Applicant's Signature
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