HomeMy WebLinkAboutPL 1988-2949 New Single Family FEESCHEDULE * P ermit NoI7 CITY BLDG, 2, C)—r, CITY OF 0 Plan No.
STATE SURCHARGE ,1 (I (For D PLAN CHECK
CITY UTILITY
EXTERNAL PLBG.
METRO S.A.C. APPLICATION FOR PERMIT
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UTILITY CONNECTION /� �,f Date lT 9
TOTAL AMOUNT DUE l�
STRUCTURE USED AS
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BYRX BU � PL i� / I Ha INS ❑ ❑ ALTER ALTER REPAIR REROOF RESIDE MOVE WRECK
SIGN
BY R ES I -l l ❑ F-] E:] ❑ ❑
Owner Address
Architect Address n,
General Contractor S 1M •ID I t,,y tj :k, r H!9!,r�'
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
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES 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 To 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 /CONTRACTOR SIGNED
OK'D BY