HomeMy WebLinkAbout18 Castle Brewer CtCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: — I D 7 Date:
The undersigned hereby applies for a permit to install the following electrical:
rlOwner's Name: -Tvt-64 "CuSrr l orr f1/
Address of Job:
Electrical Contractor: Aee ,Lfn4f I
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: h r,pu- a ,v,
p rof
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance wi City of Sanford Electrical Code.
Applicant's Signature
F(foo3lyLA
State License Number