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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: O ( Date: 6-/y-102
The undersigned hereby applies for a pennit to install the following electrical:
Owner's Name: Sanford Housing Authority
Address of Job: R7 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
Change of Service:
From AMP Service to AMP Service
Manufactured Buildi
Other.
Description of Work:
Re2airs to electrical branch circuits.
e lace devices as needed.
Application Fee: 10.00
TOTAL DUE:
By Signing this application 1 am stating that 1 am in compliance with City of Sanford Electrical Code.
W-aoe-
Applicants Signature
EC0003144
State License Number