HomeMy WebLinkAbout505 Plumosa Dr (2)CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: Date: 5 /,3 A a
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: VA 4 -
Address of Job: SoE a4) M QjA n2
Electrical Contractor: CZ
Residential: Non -Residential: Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
lq—ew- Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work: /Zf)
0
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with y Sanford rical Code.
Lzef
Applicant's Signature
12Q0/0/Jp k
State License Number