HomeMy WebLinkAbout317 Clydesdale Cir (3)2-2a-1995 4_57PM FROM
CITY OfF� SAttNAAFORD ELECTRICAL PERMIT APPLICATION
Permit Number: v` Date: /4 O�-
The undersigned hereby appliess, for a��permit to install the following electrical:
Owner's Name:
Address of Job: L?/%
Electrical Contractor:/!/`on
Residential: ve Non -Residential:
Number Amount
Addition, Alteration, Repair Residential iti Non -Residential
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
• 00
Application Fee: $10.00
TOTAL 00E: O.
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
o00 3/5
State License Number
P. I