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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: V (—' I Date: 6 -W-'oz
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Sanford Housing Authority
Address of Job:
r IQ 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 Building
Other.
Description of Work:
Repairs to electrical branch circuits.
e lace devices as needed.
Application Fee: 10.00
TOTAL DUE:`
By Signing this application 1 am stating that I am in compliance with City of Sanford Electrical Code.
110,
r. • -/
EC0003144
State License Number