HomeMy WebLinkAboutPL 1980-1734 New 8plex FEE SCHEDULE Permit No. /73
CITY BLDG,. ,l CITY OF i)'. P K HEIGHTS Plan No.
STATE SURCHARGE /.5-0 C (For Dept.use only)
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BLDG. PERMIT rV U
01117,
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ,p
UTILITY CONNECTION D// S'�/ �n m- Date 6 -"" 1q',r'C1
TOTAL AMOUNT DUE 'L �� . " L "
STRUCTURE_uSED AS
REFRG HANG
BUILD P.0 HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES n nU (^I
MARK X
Owner Address
Architect Address
General Contractor 4_,1 274_44-�--" Address
C tractor Reg. No.
tone-
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/'/to .5-7 1611 , . AO .
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
BASEMENT 0 YES DETAILS OR REMARKS: ��
The undersigned hereby makes application for a permit to do Building Work as herein specified,agree to do all work i strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before per it an be issu-../ /
OWNER/CONTRACTORSIGNED /
OK'D BY