HomeMy WebLinkAbout1987-2667 Mechanical - New Single Family FEE SCHEDULE W ' A Permit No.
�b bb CITY GHTS Pl an No.
clrY BLDG. 439 -4439 (For Dept. u. only)
STATE SURCHARGE 15� _
PLAN CHECK
CITY UTILITY _
EXTERNAL PLBG. APPLICATION FOR PERMIT '..
METRO S.A.C.
UTILITY CONNECTION Date -T� 19—
TOTAL AMOUNT DUE " STRUCT USED AS
REFRG HANG
MARK BUILD PLUMB. EAT INSTALL_ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ BY X S D D D ❑ D a F ❑❑ F 0
Owner �/1��"� 1J2?�� Address l __
Architect A ress
G_4srxaJ Contractor ddress
Contractor Reg. No. Z
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑YES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stri accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be is 0
OWNER /CONTRACTOR SIGNED
OK'D BY_