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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number. n Z ' ( ZZ-7 Date: 5- 6 - 0 2 _
The undersigned hereby applies for a pen dt to install the following electrical:
Owners Name: Sanford Housing Authority
Address of Job: 2 Castle Brewer Court
Electrical Contractor. Ace Electrical Service, Inc.
Residential: X Non -Residential:
Number Amount
Addition, Alteration Repair Residential & Non -Residential
New Residential:
AMP Service
New Commercial:
AMP Service
Chan —go of Service:
From AMP Service to AMP Service
Manufactured Buildino
Other_
Description of Work:
Repairs to electrical branch circuits.
e lace devices as needed.
Application Fee: 10.00
TOTAL DUE:
By Signing this application 1 am stating that I am in compliance with City of Sanford Electrical Code.
rz" 91 2&
Applicant's Signature
EC0003144
State License Number