102 Towne Center Cir - 95-002852 (1995) (DISPLAY CASE) (NEW ELECTRICAL) DOCUMENTS14a o C d-lgl
ZONE DATE
CONTRACTOR
ADDRESS
PHONE #
LOCATION
OWNER
ADDRESS
PERMIT #
JOB
COST $
FEE $
STATE NO,
PHONE #
PLUMBING CONTRACTOR FEE $
ADDRESS
PHONE # //
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b
ELECTRICAL CONTRACTOR .o DOr- FEE $
ADDRESS
PHONE #
MECHANICAL CONTRACTOR
ADDRESS
PHONE #
MISCELLANEOUS CONTRACTOR
ADDRESS
SEPTIC TANK PERMIT NO.
SOIL TEST REQUIREMENTS
FINISHED FLOOR
ELEVATION REQUIREMENTS (._J
ARCH rrECTURA L APPROVAL DATE:
FEE $
q&ac -z lnl-)
SUBDIVISION: M
LOT NO.
BLOCK:
SECTION:
SQUARE FEET:
MODEL:
OCCUPANCY CLASS:
INSPECTIONS
TYPE DATE OK REJECT BY
FEE $ ENERGY SECT EPI:
CERTIFICATE OF OCCUPANCY
ISSUED # DATE:
FINAL DATE
CITY OF SANFORD. FLORIDA
PERMIT NO. DATE
THE UNDERSIGNED HEREBY APPLIES FOR I PERMIT TO INSTALL THE FOL-
LOWING ELECTRICAL WORK: /
OWNER'S NAM rt 0 //V 7Y U/ll1C
ADDRESS OF JOB /4a T
ELEC. CONTR- /4MaX ^ -Residential —Non-residential—v
Subject to rules and regulations of the city and national electric codes.
Number AMOUNT
Alteration Addition Repair
Chanize f Service Residential
Commercial
Mobile Home
Factory Built flousiniz
New Residential 0-100 Amp Service
101-200 AmR Service
201 Amp and above
New Commercial 30 Amp Service
Application Fee
TOIAt--) II
By signing this application I am stating 1 will he in compliance with the NEC includ' Article O. Section 110.9 an 0.
Building Official safer lecidVan
STATE COMPETENCY NO.