HomeMy WebLinkAbout3455 Orlando Dr (3)CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: Date:
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: `-- %M C-Pft Sr- 2-olm Cb-vr L1.ND CafLp)
Address of Job: 3455 O (Z- oo
Electrical Contractor: E`er
Residential: Non -Residential:. X
Number Amount
Addition, Alteration, Repair Residential & Non -Residential) r
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
3 s zz o2 Cit/F-i S I c Cv
Application Fee: 10.00
TOTAL DUE:
In
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
I nt's Signature
C(— ao (3 sL-3
State License Number