HomeMy WebLinkAbout1490 Tropic Park DrCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: & 2" / Date: t, ?- 2!!Z-00,
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name:A
Address of Job: & /
Electrical Contractor:
Residential: Non -Residential: v
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Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
New Residential:
AMP Service
New Commercial:
AMP Service
hange of Service:
From /Do AMP Service to fiJEO AMP Service D
Manufactured Building '
Other:
Description of Work:
Application Fee: 10.00
TOTAL DUE: OCR
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By Signing this application I am stating that I am in compliance with City ofanford Electrical Code. I
Applicants
Signature State
License Number 14
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