HomeMy WebLinkAboutME 1989-2955 New Single Family M M
FEE SCHEDULE CITY 4(612) LGHTS Permit No. - 9-5 -S
CITY BLDG. 7 i t9 r c')) Plan No.
OAK N 55082 (For Dept. use only)
STATE SURCHARGE —S
PLAN CHECK 9
CITY UTILITY
EXTERNAL P
APPLICATION FOR PERMIT
METRO S.A.C.
/ 7
UTILITY CONNECTION Date _ O
TOTAL AMOUNT DUE y� a D ". ( J d � I A"J "
t TRUCTURE UAED AS
RE FRG MA�G.NlN1G
SQU X BUI PL MEAT INSTALL a a ALTER REPAIR WER RES MOVE WRECK SI
ARES (I \
Owner
Architect Address
General Contractor ' Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00'A.M.
NUMBERR , ST ( SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK I ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
STRUCTURE WIDTH ( LENGTH HEIGHT INOOFSTORIES I TYPE OF CONSTRUCTION I ESTIMATED VALUE
BASEMENT O YES DETAILS OR REMARKS: I a �
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict acco ance with
all ordinances of the City of Oa Park Heights. Contractors must register with the village before permit ca e P
I S t OWNER /CONTRACTOR SIGNED
50. 1 5
1S'0 OK'D BY
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