HomeMy WebLinkAbout518 Cypress AveCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: /)z32w Date: %, R- O Z-
The undersigned hereby applies for a permit to install the following electrical:
Owners Name: I-AUR%3627— z7Z?Z_5bAZ
Address of Job:
Electrical Contractor. d E'LuTJV
Residential: Non -Residential:
Number Amount
Addition Alteratio Re air Residential & Non -Residential
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to I SO AMP Service G2
Manufactured Building
Other.
Description of Work:
Ce N
A lication Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
C Appli is Si nature
Cz,-d oQ a D 3! 9
State License Number
S_ IS - 0 c)