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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
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Permit Number. 10 D I Date:. 4 -17 - 0 2
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Sanford Housing Authority
Address of Job: 241 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 a of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
Repairs to electrical branch circuits.
genlace devices as needed.
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
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Applicant's Signature
EC0003144
State License Number