HomeMy WebLinkAboutPL 1989-3108 FEE SCHEDULE CSN OF OA(P'1 �, El�. S V
�/ Permit No._ i '
CITY BLDG. 1
STATE SURCHARGE �D,S OAK PAR ,�r..�;!M 55082 Ploo(Fee Dept.,,.��—
PLAN CHECK ,��
CITY UTILITY �� � 4 9
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION /"_
`^� ` Date
TOTAL AMOUNT DUE / tO,Sd
STRUCTURE USED AS
REFRG
MARK BUILD PLUMB. HEAT INSTALL ALTERREPAIR RE GOOF RESIDE MOVE WRECK S NG
SQUARES _- X n n n n __ __ __. C NA
BY X
Owner „,/qts- tt L CX -��C,
Architect Address
General Contractor/x_-)1141LA—) Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STR ETS
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
01-0
STRUCTURE
7
BASEMENT 0
YES DETAILS OR REMARKS:
0 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
OK'D BY