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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number:
Z 5. >0 Date: _ fii ' ly #0 2
The undersigned hereby applies for a permit to install the following electrical:
Owners Name: Sanford Housing Authority
Q
Address of Job: v 3 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 Buildina
Other.
Description of Work:
Repairs to electrical branch circuits.
e lace devices as needed.
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicants Signature Vr
EC0003144
State License Number