HomeMy WebLinkAbout2409 Hartwell Ave (2)CITY OF SA4- NFORD ELECTRICAL PERMIT APPLICATION
Permit Number:0 Date: l RL0 x
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name:
Address of Job:
Electrical Contractor: Q.V u. 1`t?1/' IQ ( 1 S eS GG L
Residential: X 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 AMP Service
Manufactured Building
Other:
Description of Work:
s I /
I FG r
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical CqAe.
RA& &Ij—
Applicant's Signature
J"C,000 a yoq
State License Number