HomeMy WebLinkAboutME 1988-2928 New Sgl Family p
FEE SCHEDULE Permit No.
6 00 CITY OF OAK G Plan No.
CITY BLDG. qg (For Dept. use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR )ERMIT
METRO S.A.C. /P�j 7
UTILITY CONNECTION Date ((��//11 17 �1
-
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TOTAL AMOUNT DUBC.e D STRUCT USED AS
BY X BUILD PLUMB. NEAT STALL ALTER REPAIR REROOF RESIDE MOVE WRECK Ha
MARK SQUARES
J
Owner — S!� /US Address
Architect �i Address /J
General Contractor 7//�///�� / _ %/yiJJ Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A. M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
A, 53 4e
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT N � TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS: I //� c.�/7 / ✓/_
C3 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be 7e�il_
OWNER /CONTRACTOR SIGNED -
OK'D BY _ [//