HomeMy WebLinkAbout200 N Star Park PlCITY OF SANFORD ELECTRICAL APPLICATION
PERMIT NO. O 2 •— Ie3 90 DATE: 16/ / 6 Z
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING ELECTRICAL WORK:
OWNER'S NAME: n AL 5 A L-
ADDRESS OFJOB: Zoo Wo (4k si-Qr Pg v k
ELECTRICAL CONTRACTOR: 5T --!9q tS RES NON-RES
Subject to rules and regulations of the city electrical code:
By signing this application I am stating I am in compliance witb the City Electrical Code
A 'cam's Signature
States Lien"#