HomeMy WebLinkAboutBP 1987-2672 New Single Family /i F4_
FEE SCHEDULE +// Permit No. - –
�3� ry CITY OA'P•RIC HEIGHTS Plan Na
CITY BLDG. pp — 439-4439 - (For Dept.nee only)
STATE SURCHARGE .;z vs
PLAN CHECK
CITY UTILITY 75,0-9
EXTERNAL PLBG. /6�.^—° APPLICATION FOR PERMIT 9 ��
METRO S.A.C. ..S'.$-S t' Q�
UTILITY CONNECTION ..3�, dui Date_ 19QL
TOTAL AMOUNT DUE 7 9o,7-N
� STRUCTURE USED AS
REFRG HANG
MARK BUIL PLUMB. HEAT INSTALL I ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES Ifl '^I I^I U
BY X
Owner Ga Ur W 1OS- Address 4SO E f"' Rd^t"
Architect 511111e- Address Li f f(e. l-001a• r Mil-SS-II 7
General Contractor S0..W — Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
54111 o,Ti a Inla.k N -i,
_____LdT BLOCK ADDITION OR TRACT
L-1 lv 5 bUtlef eras_ qil.
WIDTH (� DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT $O 94 I&D
WIDTH LENGTH HEIGHT NO OF STORIES TYPE��� OF CONSTRUCTION /� ESTIMATED; / VALUE
STRUCTURE LIS- i 3p�,/ Rot 4z-sl- C � �tL�r� ' 1,1! / (0., -I�CJ�
BASEMENT 'YES
DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village bef permit can a issued. ,p
OWNER/CONTRACTOR SIGNED - v -
OK'D 8 —