HomeMy WebLinkAbout116 Belgian Way (2)2-24-1995 4:57PM FROM P.1
CITY OFSANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: _03—R& Date: SZ0j2— —
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name:
Address of Job: ��[o / /Oi2 /j�y1!/ie /,s
/1'- 4-.9 5/�_
Electrical Contractor.�kbn f�iia� /"�or��rte _iv�Gd5
Residential: Non -Residential:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
o00 3/S"
State License Number