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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number. 0 1, ' 'q Date: 5 - 6 - 0 2 _
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Sanford Housing Authority
Address of Job: 2C Castle Brewer Court _
Electrical Contractor. Ace Electrical Service, Inc.
Residential: X Non -Residential:
Number I Amount
Addition, Alteration, Repair Residential & Non-Residential)Z
New Residential:
AMP Service
New Commercial:
AMP Service
Chan —go of Service:
From AMP Service to AMP Service
Manufactured Build
Other
Description of Wodr-
Repairs to electrical branch circuits.
ReDlace devices as needed.
Application Fee: 10.00
1--3t- TOTAL DUE:
By Signing this application 1 am stating ttet 1 am in compliance with City of Sanford Electrical Code.
a a 9. a&
Appficanrs Signature
EC0003144
State License Number