HomeMy WebLinkAboutPL 1992-3432 Sewer & Water Connection FEE SCHEDULE CITY OF OAK PARK HEIGHTSPermit No.
BOX #2007 Plan No.
CITY BLDG. OAK PARK HEIGHTS, MN 55082 (For Dept.use only)
STATE SURCHARGE
PLAN CHECK .7 (612) 439-4439 '
CITY UTILITY /�. On
EXTERNAL PLBG. Hc. nC) APPLICATION FOR PERMIT
METRO S.A.C. %00.on
UTILITY CONNECTION Junker Sanitation To Be Date -17 - 92., 19
Contacted If Drop Box Is
')9{. w Required.
TOTAL AMOUNT DUE STRUCTURE USED AS
REFRG ` HANG
MARK BUILD PLUMB. HEAT INSTALL `Y ALTER REPAIR REROOF RESIDE MOVE WRECK tn
SQUARES
XES ri 0 n 1/ El F-1 a a o n o
Owner .e(j)-ICl,i .,('�
Architect Address
General Contractor Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
-13515 6,04-1-) SL
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
DETAILS OR REMARKS:
BASEMENT 0
YES
O 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 before permit can be issued.
OWNER/CONTRACTOR SIGNED - `'\ r
CP)
OK'D BY '`---/ 4 P 31 (c ill 'C)!.