HomeMy WebLinkAboutBP 1988-2794 New Single Family 4"
FEE SCHEDULE Permit No.
CITY�� IGHTS PI
CITY BLDG. S e 4iy 4439 an No.
(For Dept. u, only)
STATE SURCHARGE 7
PLAN CHECK •-�
CITY UTILITY
EXTERNAL PLBG.
METRO S.A. C. APPLICATION FOR PERMIT
_`, .5 C � ✓`"�
UTILITY CONNECTION �L � t V h ate- 19 ( ` 7 (�
TOTAL AMOUNT DUE /2S o.S , Vs ,. - - r ,t�yt
, ! . '1—l 1 • L O
STRIXCTUR USED AS
REFRG
MARK BUIL PLUMB. H� INS�LL ❑ ALTER REPAIR RE� F RESIDE MOV �aK HANG SQUARES
BY X
Owner Gpac nef I ?(-Os Address HfiU E � 1 .)
Architect (zMe_. Address �- � �Q. 1�ntdGL �m(�
General Contractor Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1q),30 5 S+_ Nj_
LOT BLOCK ADDITION OR TRACT
�uj) 0�
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT
N O OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 1� GA� A- 9 M-
BASEMENT ❑ YES V � (,f DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Bu Ming Work as herein Ll4ecified, agrd ing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village b re p�Ltc be iss ued.
OWNER/CONTRACTOR SIGNE0 ,
OK'D