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HomeMy WebLinkAbout2301 E Airport BlvdCITY O62-63-5 FSANFORD ELECTRICAL PERMIT APPLICATION Permit Number: Date: © )L, The undersigned hereby applies for a permit to install the following electrical: Owner' s Name: 50.Y0ra ysD9-r Address of Job: o;O k 'E , At 00 Q-T g\4 Electrical Contractor: 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 0 AMP Service Manufactured Building Other: Description of Work: Application Fee: 10.00 TOTAL DUE: By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code. a Wh 1, R MEI E, C- 0 State License Number