HomeMy WebLinkAbout1987-2696 Plumbing - New Single Family FEE SCHEDULE Permit No.
L n CIT'WOFARK EIGH TS Plan N o
CITY BLDG. 439 -4439 ( oePl. se nI
STATE SURCHARGE
PLAN CHECK ✓ . ]� l �
CITY UTILITY l
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. i/ `�
UTILITY CONNECTION Date— 19
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-
TOTAL AMOUNT DUE a / � STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. MOVE WRECK SIGN
'/�B. HEAT INSTALL ALTER REPAIR REROOF RESIDE K
SQ BY X a NI a ❑ ❑ El a a o F 0❑ o
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Aress 1�� Q () �, / 6/0
Owner ��=�—
Architect Address —
General Contractor � Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT r LOCK ADDITION OR TRACT
f 1 7
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT N TYPE OF CONSTRUCTION EST IMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS:
BASEMENT O
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 canloe issued. /
OWNER; CONTRACTOR SIGNED%
OK'D BY