HomeMy WebLinkAbout3401 Jewett Ln (3)r i
CITY OF"SANFORD ELECTRICAL PERMIT APPLICATION
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Permit Number: t J wOq Date: Z â Fâ oZ
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name:
Address of Job: 340 I J,C
Electrical Contractor: Al fh A-x? s r/r c_ (:/ .
Residential: Non -Residential: r/
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:
O r r
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City anford Electrical Code.
2 Applicant's Signature
OL/
Z g!f'ie- 00 IV770
State License Number
c161-7 â F32--32-5-7
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CITY OF SANFORD ELECTRICAL APPLICATION
PERMIT NO. O,Ot cSo ¢ DATE: 2^ L4 -O 1
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING EK: ELECTRICALWORK' 11MV0.
W a, I P Restcrouce /S7P_ve %3a ilt ADDRESS
OF JOB: I I I .-' 1"tq% #&d /4 w ELECTRICAL
CONTRACTOR: to RES !--- NUN-RES Subject
to rules and regulations of the city electrical code: States
Licensed
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