HomeMy WebLinkAboutPL 1987-2702 New Sgl Family FEE SCHEDULE Permit Ho.
3)� CIT — WA HEIGHTS Plan No.
CITY BLDG. (For Dept. use only)
STATE SURCHARGE SQ ff
PLAN CHECK z -
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION date � 1 9p—
TOTAL AMOUNT DUE . STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X S ® D ❑ ❑ a El a El 0 El F
Owner Address
Architect Address
General Contractor (:�nycA n)Qv- Address 1 Kv F—%6� C
Contractor Reg. No. `� Y• yh V L� m b U� ? N `e� j ,/ � qU t A �
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M. 0 �f p OUL-i SS�U 7
NUMBER STREET I SIDE I BETWEEN WHAT CROSS STREETS
I LI116 I S3
LOT I BLOCK I ADDITION OR TRACT
l+
WI DTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT N OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
p YES DETAILS OR REMARKS: I l�
BASEMENT 0 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 issued.
OWNER /CONTRACTOR SIGNED _1Rad�l1
OWD BY _ 1