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Home My WebLink About0047540-Electric (kitchen & bath remodel) (o/ Z CITY F HK N° �7540 O OS OSH � PERMIT - APPLICATION AND RECORD TYPE: _BLDG ❑ HTG ❑ ELEC (7� PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - T� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS �Z PLAN NO. OWNER " ��-`�""� DESIGNER USE/NATURE OF WORK ,��_Y 1`��a�`z�%� BUILDING CON7RACTOR , Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ` ELECTRIC CONTRACT�R � ,�� 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 $ �g � '�� Permit Fee Paid $ �b- �'° Park Dedication $ ISSUED BY Date f� �� Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE M PERMIT NO. �..� �S �� . APPL. DATE ELEC. CONTR. i.Z��.c. OWNER �f�..�i� p,nDx�ss /Z�71 � ` NATURE OF WORK ��C. SERV. NEW _CHAN_GE_ TEMP. _ DESC. TYPE VOLTS A1�S FIX' S SW'S RECEPT' S CIRC'S APPLIANCES SI�NS NSP. ROUGH N Lf '" SERVICE FINAL EST. COST t'�U PERMIT FEE .�a DATE PD.I'0 (p �r REMARKS I� � I I i � � � i I ! i � i � i