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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number. 0-,; - I Date: 5 - 6 - 0 2 _
The undersigned hereby applies for a pemut to install the following electrical:
Owners Name: Sanford Housing Authority
Address of Job: 12 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 Conwnercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Buldinu
Other
Descriptiontion of Work:
Repairs to electrical branch circuits.
Replace devices as needed.
Application Fee: 10.00
TOTAL DUE
By Signing this application 1 am stating that i am in compliance with City of Sanford Electrical Code.
lex1'
Applicants Signatu
EC0003144
State License Number