HomeMy WebLinkAboutME 1987-2703 New Sgl Family FEE SCHEDULE / Permit No— ?7t7 3
F A PARK HEIGHTS Plan No.
CITY BLDG. �0 ` �� 439 -4439 (For Dept. use e„l
STATE SURCHARGE t _
PLAN CHECK
CITY UTILITY / 9
EXTERNAL PLBG. APPLICATION FOR PERMIT / J j �
METRO S.A.C. Date _- 19 K
UTILITY CONNECTION �{)�
TOTAL AMOUNT DUE c w % STRUCTURED AS
HANG
REF a ❑ ALTER REPAIR RER�OOF RESIDE MOVE WRECK S IGN
MARK BUILD PLUMB. H AT INSTALL Jru�l
SQUARES X ❑ a
BY X
Owner -� Address
Architect C '� Address
St91a{IIIMl111 AIM
General Contractor wig CVA N1 DANE Address
�.100gNOTA 56M
Contractor Reg. No. `
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER I STREET I SIDE I BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
_ I I I
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE I
LOT I I
WIDTH LENGTH I HEIGHT NO OFSTORIES I TYPE OF CONSTRUCTION I ESTIMATED VA VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMEN OYES T O NO I /\ 7 / �/� it / - A (7
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
OK'D BY