HomeMy WebLinkAboutBP 1988-2921 New Single Family FEE SCHEDULE Permit No. `a'4c�� �
CITY BLDG. S V!) J CITY, A 'r� HEIGHTS Plan No.
STATE SURCHARGE —?9,
9- y� (For Dept. use only)
PLAN CHECK
v
CITY UTILITY
EXTERNAL PLBG. d 9P APPLICATION FOR PERMIT
METRO S.A.C. .�S — (� . /J—V
UTILITY CONNECTION D ate
19�
TOTALAMOUNTDUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
aQayX5I /N ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑❑ ❑
Owner Address
Architect Addressee_
General Contractor a-4-r— Address -9� 1� a S
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A. M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT I BLOCK i ADDITION OR TRACT
(WIDTH i DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH ( LENGTH I HEIGHT iNO OFSTORIES I TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE I'
BASEMENT ❑YES
DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to worl' trict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permits
OWNER /CONTRACTOR SIGNED �'
OWD'D BY_