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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: _(!) 2 t V Date: 6 ` W- 'G 7.
The undersigned hereby applies for a permit to install the following electrical:
Owners Name: Sanford Housing Authority
Address of Job: _ Castle Brewer Court _
Electrical Contractor: Ace Electrical Service, Inc. _
Residential: X Non -Residential:
Number I AgQount
Addition, Alteration Repair Residential & Non -Residential
New Residential:
AMP Service
New Commensal:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Buildin
Other.
Description of Work:
Repairs to electrical branch circuits.
e lace devices as needed.
Application Fee: 10.00
TOTAL DUE:
v%0
By Signing this application 1 am stating that 1 am in compliance with City of Sanford Electrical Code.
Applicant's Signature
EC0003144
State License Number