HomeMy WebLinkAboutME 1988-2812 New Sgl Family FEE SCHEDULE Permit No.
� CITY EIGHTS Plan No.
CITY BLDG. (For Dept. use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT _
METRO S.A.C.
Date
UTILITY CONNECTION
/ 1 4 G/X
TOTALAMOUNTOUE STRUCTURE l E AS
HANG
MARK MARK BUILD PLUMB HEAT I ALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
sa ev z s ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El
Owner e� Address
Architect Address
General Contractors �Z4 �� �� Address
Contractor Reg. No.
NO CONSTRUCTION TO START P RIOR TO 7:00 A.M.
NUMBER STREET I SIDE I BETWEEN WHAT CROSS STREETS
/211 if
LOT I BLOCK I ADDITION OR TRACT
WIDTH DEPTH I SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
STRUCTURE
WIDTH LENGTH HEIGHT INOOFSTORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
I l
I I
DETAILS OR REMARKS: L //a p � 7 -
O YES BASEMENT O NO �S
The undersigned hereby makes application for a permit to do B ildi g W s herein specified, agreeing to do all w r n bit accordance with
all ordinances of the City of Oak Park Heights. Contractors must re star Ov1 the village before permit can be i ���
OWNER/ CONTRACTOR SIGNED o • /17
OK'D BY _