HomeMy WebLinkAboutME 1987-2663 New Single Family I
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FEE SCHEDULE G � Permit No. -
0' 00 CITY F K HEIGHTS Plan No.
CITY BLDG. 439 4439 (For Dept. e only)
STATE SURCHARGE tyST I�
PLAN CHECK
CITY UTILITY _ A
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 19_
-:50
TOTALAMOUNTDUE STRUCT USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
Q UAR BY X a ❑ ❑ a a o
Owner �ir���5 Address ZL Z�
Architect Address
> Contractor :!1��/� y Address
Con / r Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
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NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
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WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
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LOT t
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
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STRUCTURE
BASEMENT
C1 YES DETAILS OR REMARKS:
❑ NO j !J
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work i strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can ue
OWNER/CONTRACTOR SIGNED
OWD BY