HomeMy WebLinkAbout424 S Elliott Ave (3)CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: dM' 02- IZ_) Date: 6 "1 5 - O 7-
The undersigned hereby applies for a permit to install the following electrical:
Owners Name: W i LG 1' A Wrl K7&-f Wj
Address of Job: - 424 $ 61-46?7h AV e
Electrical Contractor. SANF O Le y' CCU zm G
Residential: f1*
0
Non -Residential:
Addition, elteration, Repair lResidential t Non -Residential
Number Amount
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From 1 M AMP Service to AMP Service ov
Manufactured Building
Other.
Description of Work: O
t
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
State License Number