HomeMy WebLinkAboutME 1989-3014 New Single Family Permit No.
FEE SCHEDULE
, CITY OF 0 0 9; S Plan No. .�
CITY BLDG.
O (For Cept. u only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date —�
UTILITY CONNECTION �Jj_���
TOTAL AMOUNT DUE / S / TR / UCTURE�D AS
/ HANG
MARK BUILD PLUMB. HEAT ALTER REPAIR REROOF RESIDE MOVE WRECK SI�C�N
STaL ❑ a ❑ a - 1
SQUARES 0 ❑ U
BY X
Owner] °' /' Address
Architect / Address f/
General Contractor ������`�� Address
Contractor Reg. No.
NO CONSTRUCTION TO START - PRIOR TO M.
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 1 TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE I I I =
NO i DETAILS OR REMARKS: I `����
❑ Y ES
BASEMENT Q
application for a permit to to Building Work as herein specified, agreeing to do all w k ins 'et accordance with
The undersigned hereby makes app /'
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be
OWNER /CONTRACTOR SIGNED (-- /> /
OK'D BY _ U