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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: b, Date:
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Sanford Housing Authority
Address of Job: __417 Castle Brewer Court
Electrical Contractor: Ace Electrical Service, Inc.
Residential: X Non -Residential:
Number I 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 Buildin
Other.
Description of Work:
ReRairs to electrical branch circuits.
e lace devices as needed.
Agmlication Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that 1 am in compliance with City of Sanford Electrical Code.
3 A A'
1
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Applicants Signature
EC0003144
State License Number