HomeMy WebLinkAbout301 Mangoustine Ave (2)CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: CDDi, -7 Vp Date: 3 - 7 - c1 Z
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: SCr•+ , o1 ol-c- v (, c - .y C
Address of Job: ?o / 1'I r-occ S T•/mac/ e-z'- 1y'-- Electrical
Contractor: i'N /A-C Residential:
Non -Residential: &__ By
Signing this application I am stating that I am in compliance with City of Sanford Electrical Code. 01,
Applicant'
s Signature Lov )/`
State
License Number