HomeMy WebLinkAbout1330 Summerlin AveCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: C"D-1 '-2 5 Date: 3
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: 14 rtgAf1E pv S r
Address of Job: 1330 S< AYAYWc-2yy E -
Electrical Contractor:
Residential: Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
Application Fee: 10.00
TOTAL DUE: C . —
By Signing this application I am stating that I am in compl
State License Number