HomeMy WebLinkAbout1987-2627 Building - New Single Family FEE SCHEDULE Permit No. , Z- IC /
y SQ CITY OAK PA K HEIGHTS Plan No.
CITY BLDG. 439 -4439 (For Dept. -e only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY - 7 r / 7_. C!(f)
EXTERNAL PLBG. C, c APPLICATION FOR PERMIT
METRO S.A.C. 15 5 00
UTILITY CONNECTION C�lJ ( Cc Date _ 19
TOTAL AMOUNT DUE /OS STRUCTURE USED AS
REFRG HANG
MARK BULL PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
Q UAR BY XES ❑ a 11 0 ❑ ❑ El El ❑ D 0 0
Owner Gardner ems- Address `t E, / RcA,Q
Architect aM,(? Address !- ^IT�S_1� C }— J� -S
General Contractor Same_ _ 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
i 5wo- er — j i rnb.
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE '..
LOT
WIDTH L(L EN,GTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED ESCT�IMATTEDD VALUE
STRUCTURE �� l'X✓ �"� (T �liG 6 r� 00, 00
X✓
BASEMENT .0 YES DETAILS OR REMARKS:
0 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 c be issued.
OWNER /CONTRACTOR SIGNED S &
OWD BY