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CITY OF SANFORD MECHA ICAL PERMIT APPLICATION
Permit Number: 672 V riol Date: 941 q /O D,
The undersigned hereby applies for a permit to install the following equipment:
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Owner's Name: 1 tV / (M C//j
1
Address of Job: --" rlC.«.'CGtI
Mechanical Contractor:
Residential V Non-F
Amount
Nature of Work:
On eA cv- .vr
S:
Job Valuation:
Application Fee: S10.00
TOTAL DUE: .46
By signing this application. I am stating that I am in compliance with City of Sanford
Mechanical Code.
Applicant ature
C D L4Z.Goa/
State License Number
April 18, 2002
ATTN: City of Sanford Building Department
Re: Mechanical Permit
Please consider this letter Official Authorization for Brian Moseman to sign for
and obtain, change, or amend permits for H.V.A.C., for Jim Anderson at 124
Mayfair Court, Sanford, FI 32771 for COOL -WAY, INC. or William Kirtley the
license holder.
If there are any questions concerning this please*feel free to call our office at the
number listed on the bottom of this page. >
Sincerely,
COOL -WAY, INC.
JL
r r
CAC 058064
STATE OF FLORIDA
100
COUNTY OF SEMINOLE ,' r
Sworn to and subscribed before me this 19* day. of April, 2002, by William Kirtley
who is personally known to we and who did not take an oath.
U4U
N tary u i
Y KAYDIXON ^
MY CCtAt\ttSS10N # DD02M79 1
rl EXPIRG: May 14, 2005
cr,° __.,.,..: Name:' e p or stampedooa-No7a r FL r, :r:
Notary Seal)
2280 NORTH HWY 427 - SUITE 101 - LONGWOOD, FL 32750 9 (407) 830-7117 - FAX (407) 830-8829