HomeMy WebLinkAboutME 1989-2979 New Single Family FEE SCHEDULE / Permit No. /
CITY 0 GHTS Plan No.
CITY BLDG. O. UQ
�U 4 (For 1; ept, �. only)
STATE SURCHARGE �
PLAN CHECK
CITY UTILITY A
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. _ .0
UTILITY CONNECTION Date 19—
TOTAL AMOUNT DUE �v � STRUCTUR USED AS
REFRG HANG
BY X BUI�LO PLUMB. HEAT STALL ❑ ❑ AL REPAIR RER RES MOVE WRECK SO MARK
SOUAftES
Owner �/�� / / /�� i��5 /' ✓r/y�f Address
Architect / Address
General C ontractor °�l✓�G� �L Addres l r �l/!yc' X
Contractor Reg. No. < t}
NO CONSTRUCTION TO START PRIOR TO 7:00 A. M.
NUM STREET S IDE BETWE WHAT CROSS STREETS
LOT BLOCK T ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ES TIMATED VALUE
STRUCTURE
O YES DETAILS OR REMARKS: �?
BASEMENT n
O N O ('
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 b iss�
/ OWNER'CONTRACTOR SIGNED rnlD,1 ^nnnt n1� nnnmrnn rn
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OK'D BY _ 8419 Cci'a EB DRUZ
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