HomeMy WebLinkAboutPL 1991-3312 New Single Family FEE SCHEDULE CITY OF OAK PARK HEIGHTS Permit No. 3 3 / Z
BOX #2007 Plan No.
CITY BLDG. O OAK PARK HEIGHTS, MN 55082 (For Dept. one onl
STATE SURCHARGE J
PLAN CHECK (612) 439 -4439
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Junker Sanitation TO Be Date , 19t
Contacted If Drop Box Is 1 9,
TOTAL AMOUNT DUE � Required. STRUCTU USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQU
XES El ® ❑ El F] D a a F1 7 0
Owner
Architect Address
General Contractor P
Z LiyYNe a Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
S 3
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDIN LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
YES DETAILS OR REMARKS:
Q 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 /CONTRACTORSIGNED
OK'D BY