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BP 1988-2729 New Sgl Family
7p FEE SCHEDULE Permit No. �! / CITY BLDG. y5 S d—O CITY OF 0 E HTS Plan No. _ _ r (For Dept. use only) STATE SURCHARGE PLAN CHECK CITY UTILITY EXTERNAL PLBG. APPLICATION FOR PERMIT zz METRO S.A.C. S-S • o - J UTILITY CONNECTION --3 • °'^' Date - 4 ff— TOTAL L AMOUNT DUE �1 • 5/3' STRUCTURE USED AS REFRG HANG MARK BOIL PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN SQ ❑ ❑ ❑ ❑ El El 0 El ❑ D El El Owner �-�`�t �'� Address E Co �d b Architect Address General Contra t dnir -5 ('05 Sl_ %44/P� Address Contractor Reg. No. NO CONSTRUCTTON Tr) RTART PRTnR Tr) 7-nn A M NUMBER STREET SIDE I BETWEEN WHAT CROSS STREETS ly ©►� I 53� SI-.� LOT I BLOCK I � ADDITION OR TRACT 5U-�� Ch WIDTH I DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE LOT 1 WIDTH ( LENGTH I HEIGHT N ( TYP�E�O��ST� TION I ESTIMATED V� E STRUCTURE 5 � t t p/v_-�'t 5 DETAILS OR REMARKS: ❑ YES BASEMENT 70' 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 c n e issued. OWNER /CONTRACTOR SIGNED Im �I OWD BY _