HomeMy WebLinkAbout2839 Grove DrtQ
O`
er
CITY OF SANFORD ELECTRICAL APPLICATION
PERMIT NO. 0' — t I —1I DATE: Z— w) —V f THE
UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING
ELECTRICAL WORK: OWNER'
S NAME:Y-1,J V ArVf-A Q E A 4 17 ADDRESS
OF JOB: 28 3 9 i!- o (1e Dr _ SArvFo C ELECTRICAL
CONTRACTOR: SANfb,r EiJC-If- RES :ANON-RES Subject
to rules and regulations of the city electrical code: By
signing this application I am stating I am in com o 'ance 't Ife City Electrical Code if
Applicant'
s SiJg atur States
License#