HomeMy WebLinkAboutPL 1987-2697 New Sgl Family • s
FEE SCHEDULE Permit No.
-2z CITY BLDG.
a9 li U' CITY F A K HEIGHTS Plan Na. STATE SURCHARGE J�S Cf �7 O �� �` 439 -4439 (Far Dept. use only)
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PLAN CHECK ( /
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �� /�<�
UTILITY CONNECTION f, Date _ 19K
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQBYxs ❑� ❑ ❑❑ ❑ ❑ ❑ ❑ ❑ ❑❑ ❑
Owner Address
Architect Address A /�
General Contractor � ter �^^A r tr r Ad ress yfO
Contractor Reg. No. Gv .3T
NUMBER STREET SIDE I BETWEEN WHAT CROSS STREETS
/-,// 2 �' � N
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT INO OFSTORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT ❑ YES DETAILS OR REMARKS: I ��
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be isqq//�yeed. ,f
OWNER /CONTRACTOR SIGNED tifs�. G� / /�v6�LG/
OWO BY_