HomeMy WebLinkAbout307 W 1 StCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number:y / O )_ l r
Date: '—
The undersigned hereby applies for a permit to install the following electrical:
Owners Name: Vey A S 00 1-5 Address
of Job: 30 Electrical
Contractor: 77i t 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: n ti re cc, jg C¢ 5 Application
Fee: 10.00 TOTAL
DUE: By
Signing this application I am stating that I am in compliance with City of Sanford Electrical Code. Applicant'
s Signature COcc/
75i State
License Number