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HomeMy WebLinkAbout1412 W Valencia CtCITY OF SANFORD ELECTRICAL, PERMIT APPLIC TION Permit Number: Z— iq7Date: The undersigned hereby applies for a permit to install the following electrical: Owner' s Name: FewAj Address of Job: l h f V0. -e v v f} C Electrical Contractor: o—S _-7Z 5-0 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: W , aa, NP-,,i He.A-&& 75 /-C,, J w ' 2e n fir,,.,, Application Fee: 10.00 TOTAL DUE. By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code. Applicant' s Signature llq000C7g0g • State License Number