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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number. n Z , t 2,31 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: 2 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 Commerdel:
AMP Service
Chan-ge of Service:
From AMP Service to AMP Service
Manufactured Buildina
Other.
Description of Work:
RelRairs to electrical branch circuits.
e lace devices as needed.
Application Fee: 10.00
TOTAL DUE: t7
By Signing this application 1 am stating that I am in compliance with City of Sanford Electrical Code.
Appficanrs Signatu
EC0003144
State License Number