HomeMy WebLinkAbout2450 Hartwell Ave (2)CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: O oZ, Date: Y ,02-
The undersigned here y applies for as permit to install the following electrical:
Owner's Name: l hem -
Address of Job: of X
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 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 ity of Sanford Electrical Code.
Applicant's Sign ure
State License Number