HomeMy WebLinkAbout1642 Hanger RdCITY OF SANFORD ELECTRICAL P,.ERMIT•APPLICATION'r+,%;
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Permit Number: Date: OZ
The undersigned hereby applies for a permit to. install the following electrical:
Owner's Name: Si9Nolrowo A?24e!f i A"__7?Y04VZY tip%
Address of Job: /(o
Electrical Contractor: ,5E,ev/!e 2S7wwJS e[.Ec)vlz Atof
Residential: Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
New Residential:
AMP Service
New Commercial:
oo AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
tlSi'[tif T'ay of
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
OR— 000 go 2S
State License Number