HomeMy WebLinkAbout1810 Poloma AveCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: (7 , . I -` O Date: E_ l ' 0 2,
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: K) a j j IQ —
Address of Job: ,
C O iOyyNDk A d — Electrical
Contractor: 4E mcep- C.l Pc.-b c_ Residential:
Non -Residential: By
Signing this application I am stating that I am in compliance with City of Sanford Electrical Code. i
Applicant'
s Signature F-
c -ono a State
License Number