HomeMy WebLinkAbout3653 Orlando Dr (2)IN
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: Date: 3M 'f -.-2—
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: L,) a I (h,,4 p 1'
Address of Job: 36 Q o/'!awd,,
Electrical Contractor:f-
Residential: Non-Residential: ,C_
Number Amount
Addition, Iteration, Repair (Residential & Non -Residential) ZO.oa
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
Application Fee: 10.00
TOTAL DUE: Da
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Z' d' Z"?'z
Applicant's Signature
C I q91)
State License Number