HomeMy WebLinkAboutME 1980-1779 Change out Furnace from Oil to Gas FEE SCHEDULE Permit No. / 7 9
CITY BLDG, '7,5.0 CITY OF OAK RK HEIGHTS Plan No.
_ (For Dept.use only)
STATE SURCHARGE t S'0
BLDG. PERMIT SOD ,
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. fI t
UTILITY CONNECTION Date . Y 19`0
TOTAL AMOUNT DUE ..e>ri-e
STRUCTURE USED AS
... .. /" HANG
REFRG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK Ir�xy'1\ I U
SQUARESillBY X �,Q
Owner _�.� �� ,G�l-�^1- ( �,-P� Address j f 33'7 ,--e eO
Architect Address �- A f 6ni
rtontractor 0 1 Address 1/3,;0 ✓o[� 4S
Contractor Reg. No. G,//""-t Sra✓0�
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 OFST�ORIES I TYPE/ OF CONSTRUCTION ESTIMATED� VALUE
STRUCTURE C 1 ,(tia1 ^ Q SO�/ ,.0, es-6
.7 r e, DETAILS OR REMARKS:
YES r S
BASEMENTNO
P"` 4„9/1r:
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The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do ad work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before per
��T}}'J{{"t can be issu d.
OWNER/CONTRACTOR SIGNED y,[Yy7 Op-2 "�
OK'D BY