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Home My WebLink About1994-Electric (bathroom remodel) �/z �T K H N° 39847 � C Y OF OSH OS PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �,- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit t HEATING CONTRACTOR Heat [] A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR�� .�� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures �Switches � Receptacles � Circuits PLUMBING CONTRACTOR _BT _WH _Disp —WSoft —CBasin _Lav —Sh _DW —DF —San. Sewer _WC _FDr —SP —Ur —Storm Sewer —Sink —LTub _Eject —SS —Water Other FEES: Valuation $ ��Q�� Permit Fee Paid $ � S '`�'" Park Dedication $ ISSUED BY Date�d,/g� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE*