HomeMy WebLinkAboutME 1980-1780 Oil to Gas Furnace Replacement FEE SCHEDULE Permit No. /7 0
CITY BLDG. 6.(90 CITY 0 K ARK HEIGHTS Plan No.
S _ (For Dept.use only)
STATE SURCHARGE •
BLDG. PERMIT Gr-()
CITY UTILITY
EXTERNAL PLEG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION ,9/
Date /6 1976
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK HANG
SIGN
SQUARES -- 7BY X
Owner-P/L �' '1*Xigge crio.,,, Address ./If g e
Architect Address
cearinztr #-LLie,,,,,,._1_5V7Address if 3 56e- �c��-1
Contractor Reg. No. +��id-� _ ti,,,,: z s �''
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 OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE /2'4411'e
•
BASEMENT YES DETAILS OR REMARKS:
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o by
��2�7�o�-a c rs 7
The undersigned hereby makes application for a permit to do Building �as her�ecified,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 perm' can be issyf d.
OWNER/CONTRACTOR SIGNED /
OK'D BY