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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: & '* 091 Date: 4 -1 7- 0 2
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Sanford Housing Authority
C
Address of Job: 0 Castle Brewer Court
Electrical Contractor: Ace Electrical Service, Inc.
Residential: X Non -Residential:
Number Amount
Addition Alteration Repair Residential & Non -Residential
New Residential:
AMP Service
New Commercial:
AMP Service
Chan a of Service:
From AMP Service to AMP Service
Manufactured Buildina
Other:
Description of Work:
Repairs to electrical branch circuits.
e lace devices as needed.
Avolication Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
EC0003144
State License Number