1500 Wyndham Crest Blvd E01-002390 (WYNDHAM APTS) ELECTRICAL PERMITCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: 0~ L Date: 7-2-3
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: A v tir c1,; a rvt /l Ts ('
r
Address of Job: tgoo w J 'r-e.r )vc`
Electrical Contractor: S l e r c Q r t c c S ,/ c 1at s - 1 +`lP`oN
Residential: 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. _ 2 Gr,'4,
Description of Work:
Application Fee: 10.00
TOTAL DUE:
By Signing this application 1 am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
State License Number