HomeMy WebLinkAboutME 1988-2749 New Single Family FEE SCHEDUL Permit No.
pa CITY OF 0 P IGHTS Plan No.
CITY BLDG. �7 39_ (For Dept. use only)
STATE SURCHARGE) v
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT y
METRO S.A.C.
Date
UTILITY CONNECTION
TOTAL AMOUNT DUE
REFRG f/ HANG
MARK BUILD PLUMB. N"T1 L ❑ ❑ ALTER REPAIR REa F RESIDE MOVE WRECK SIGN
SQUARES
�,� C��/ U. - A4 S Address
Owner � / /rr / / /%�
Architect Address
General Contracte / T/ Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER aSTREET P� S10E I BETWEEN WHAT CROSS STREETS
LOT I BLOCK I ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT I _ I _
WIDTH I LENGTH HEIGHT N i TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE
I DETAILS OR REMARKS:
OYES
O E
BASEMENT I I f '/
4`10 ,��r����
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in ict accordance with
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 _