HomeMy WebLinkAbout701 W 20 St (2)CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: D--(Q KJ Date: J— ?__ 0 a
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name:
Address of Job:
Electrical Contractor: k IS 0-L e cT-V- i G 1' M c
Residential: _Aef:_ Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From rav AMP Service to L2 S AMP Service o 0
Manufactured Building
Other:
Description of Work:
Application Fee: 10.00
1
TOTAL DUE: ice v0
By Signing this application I am stating that I am in compliance with Cit ford Electrical Code.
Applicant's Signature
State License Number