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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: Z Date: _ 6- /y-'oz_—
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Sanford Housing Authority
Address of Job: _ % ( Castle Brewer Court
Electrical Contractor: Ace Electrical Service, Inc.
Residential: X Non -Residential:
By Signing this application 1 am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
EC0003144
State License Number