HomeMy WebLinkAbout2913 S Orlando Dr (3)CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: O 2 `` 2,1 Date: "Z — I C>
The undersigned hereby` applies for a permit to install the following electrical:
Owner's Name: 'C 0 r K- C15 o p e-5,- Q
Address of Job: 4• 13 S av Q{O •
Electrical Contractor: C — w C-
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 City of Sanford Electrical Code.
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Applicant's Signature
e000/ 75 V
State License Number