HomeMy WebLinkAbout605 E 14 St (2)•� ii J+iN y IN .. ,' # 6` �Le k- _ ,
CITY OF SANFORDELEC r ,ICAL PERMITPLlCAT�ION a s s
Permit Number. �� Date:
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: /;y 4a_41 ccuC` W t C CL
Address of Job:
Electrical Contractor: JC o l �r�t> ��� / (ect () « (mac (—� •-�� Cid
Residential: V 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 Building
Other.
Description of Work:
G FX C�-r
Application Fee: $10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
4�. �, lt�__ - -
Appli is Signature
fe,�, 12(cy j
State License Number