HomeMy WebLinkAboutBP 1979-1643 Roof FEE SCHEDULE ���/ 1 Permit No. / 6 3
CITY BLDG. 5.:A.i-Q CITY OF e'K PARK HEIGHTS Plan No.
STATE SURCHARGE ,!J'� (For Dept,use only)
BLDG. PERMIT ��La0
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT '
METRO S.A.C.
UTILITY CONNECTION - ��/ 19 1
Date n 7
TOTAL AMOUNT DUE /)�T //L-Z7
•
•
1 l
/�If STRUCTURE! /•YUSED A�
+ REFRG t f
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK S GN
SQUARES �/ I U -
BY X /�
1
���j '} 1\ k
owner-214.5 '- �O�L/1/ .04/ t -- - Address ../'. S'"Z,E,rc{e,4i .o.42,42. //
Architect. •Qo�u/i Le4- g•-.•- c••o. Address ;7u*u/,%'T.c.� 2.f./General ContractorS /E.r/i/is 0.4t/$,ne/ Address
Contractor Reg. No. — o —
29- /991
/NUMBER nJSTREET "/� SIDE BETWEEN WHAT CROSS STREETS
‘7/6 5— i /gyp/-.0 L77ie
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 17(0 Co �O V//Z- �/'t�+Q4.lc. 1/a 000
BASEMENT (ES DETAILS OR REMARKS: ,,,c OA/Gr
NO
The undersigned hereby makes application for a permit to do Building Work as herein specifie agreeing to do all 'n strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village bef "permit ca �J
OWNER/CONTRACTOR SIGNED `
OK'D BY_ ` /J