HomeMy WebLinkAboutBP 1986-2525 Remodel /
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FEE SCHEDULE Or/ 0 Permit No.�s�S
CITY BLDG. �`,,,�,a--r� Y O 0 K PARK HEIGHTS Plan No.
439-4439 (For Dept.one only)
STATE SURCHARGE eJ-.S d
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. //�.j
UTILITY CONNECTION 9.—..5-G2
� p �� Datee/_ �/ 19
1.4
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TOTAL AMOUNT DUE 7Y•sd STRUCTURE� ED AS
REFRG HANG
MARK BUILD PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARESBt n n n n U
Owner C 27—e4. 1&A Address
Architect CJ Address
General Contractor aJ t. _n__,t./ Address
Contractor Reg. No.
-/.?s'— ‘J Y 1.-
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
16—ted it • C
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Ir
0 YES DETAILS OR REMARKS:
BASEMENT Of 7r
NO z
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 mit ca/I be illi
OWNER/CONTRACTOR SIGNZC•C�
OK'D BY_