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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number. OL so I*? Y Date: 4 -1 7- 0 2
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Sanford Housing Authority
Address of Job: S Castle Brewer Court
Electrical Contractor. Ace Electrical Service, Inc.
Residential: X Non -Residential:
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 Buildin
Other.
Description of Work:
Repairs to e lectrical branch circuits.
ReDlace devices as needed.
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
rl" 9, r&
Applicants Signa
EC0003144
State License Number