HomeMy WebLinkAboutME 1988-2814 New Hoilday Station r\ /-..,
FEE SCHEDULE CITY OF 0=—.1,(, IG. Permit No. `: 26 /7.
_ 0,79'
:41o' Plan No.
CITU BLDG. .S O, U-0OAK55082 (For Dept.use only)
STATE SURCHARGE A ..S J \
PLAN CHECK (• 2/ I
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. d/ie 101
UTILITY CONNECTION Date
TOTAL AMOUNT DUE sa.•3 d STRUCTURE USED AS
REPRO HANG
MARK
BUILD L-��D PLUMB. HEEAAT� INSTALL --_ ALTER REPAIR REQ F RESIDE MOVE WRECK SIG{J
--
SQUARES I I I vel C
B Y X l I 1"-/���1
QyV �p�[�
•
Owner
Architect Address
General Contractor(I.I 5,...e. 41,,,_. • Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER � T SIDE J BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE �i fr...,--d.D--d
0 YES DETAILS OR REMARKS:
BASEMENT
0
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,:• =i g to.o all work in stric accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village befo it c; •,i------!....h .
d. /l
OWNER/CONTRACTOR SIGNED w_ '
\— OK'D BY