HomeMy WebLinkAboutME 1980-1676 Furnace Replacement 6 3`t$ Gsmr-,,
FEE SCHEDULE Permit No. /G• 7C
CITY BLDGI. D CITY/A� OF OAK,'.."K IGHTS Plan No.
STATE SURCHARGE ..�C 1/ ` �// (For Dept.use only)
BLDG. PERMIT /yd L}C /
CITY UTILITY
WATERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
Date y
19p
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB.� $L
HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK GN
SQUARES ll _— —
BY X
Owner 1.2 L%1-P_.ee..e Address L-'71 P.7- 6rht..,
Architect Address
.6anerel Contractor., na ,ec.�,.l.Yki.1r Address .' _/-.04 '
T
Contractor Reg. No. c t �ic � Z•'9, —",,,d
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION (ESTIMATEDjVALUE
STRUCTURE ME
'5;>4 .9/,,, ,--.
T .9
0 YES /� Bes..C:7"1"e, ,,a, ' DETAILS OR REMARKS: 41----e
®ASEMENT 0 NO / J _ .%%�__"_�_ e " , a 4 2G(22 ,(
•
4 t.„r-79L-Ir"c i'
The undersigned hereby makes application for a permit to do Building Work as herei 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 rmit can be issued.
OWNER/CONTRACTOR SIGNED ., .GfaYI 6,-,_,4%.7,--,
OK'D BY_