HomeMy WebLinkAbout309 W 15 St (2)2-11-1995 9:37PM FROM
CITY OF SANFORD tLECTRICAL PERIVII
I
T APPLICATION
Permit Number: 62- - 7 IP-11Date:
The undersigned hereby applies for a permit,' o inihll- tpe following electdcal:;
Owners Name: *//,O*..P,.
JAddressofJob: 30 J.
Electrical Contractor:
Residential: Non -Residential:
ddition Alteration. Rep air 0gesi5-e-n-Va Non -Residential
Number I Amount
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service''to AMP Service
Manufactured Building
01ner:
Lau, A(,704"
Description of Work:
Application Fee:
S10.00.
TOTAL DUE;
BY -Signing this application I -am stating that I am in compliance with Cit
Sta
mt's Signature
N
POWER OF ATTORNEY
DATE: Z % /O "L
I HEREBY NAME AND APPOINT
OF—Varr/,55Plko, .lP,e4rIc_ TO BE MY LAWFUL ATTORNEY
IN FACT TO ACT FOR ME AND APPLY TO THE (!.,4-LA
BUILDING DEPARTMENT FORA 151RAYYrL I PERMIT
FOR WORK TO BE PERFORMED AT A LOCATION DESCRIBED AS:
SECTION TOWNSHIP RANGE i,UT• tst,vLr.
SUB -DIVISION
3og 6)lS-A-- oraJ 3 771
ADDRESS OF JOB)
R OF PROPERTY AND ADDRE55
AND TO SIGN MY NAME AND DO ALL THINGS NECESSARY TO THIS
APPOINTMENT.
JEAN A . OR 5 T T
OR PRINT AME F E CONTRACTOR
SIGNA F CERTIFIED CONTRACTOR
THE FOREGOING INSTRUM5pff WAS ACKNOWLEDGED BEFORE ME THIS
5 /2gY JEAN A. MORRISSETTE
WNn TS PF.RSnNALLY KNOWN TO ME AND WHO DID NOT TAKE THE OATH.
I*-.
STATE OF FLORIDA COUNTY OF ORANGE "•ir""i'•.: OFEICIALSEAL
t I HARRIETTEANNE BROWN
COMM S ION C7 9 S 8 3"t•
o MyComm.CC795148
Expires Dec. 5, 2002
a. J ,
NOTARY)
MY COMMISSION EXPIRES: December 6, 2002
ACmin/Lute/poaharri
CLASSY