HomeMy WebLinkAbout1992-3578 Plumbing - New Single Family i
FEE SCHEDULE cc CITY OF OAK PARK HEIGHTS Permit Na. ��78
1 BOX #2007 Plan Na.
CITY BLDG. OAK PARK HEIGHTS, MN 55082 (For Dept• use only)
STATE SURCHARGE I 5�
PLAN CHECK (612) 439 -4439
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date I// 9
Sp Junker Sanitation To Be �rl���/L�
TOTAL AMOUNT DUE Contacted If Drop BOX Is STRUCTURE USED AS
Required.
REFRG HANG
MARK BUILD PLUMB. H'(E�ATI INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SOBY XES a a a a a o 0 0 0 0
1 '
Owner �� , V
Architect Address
—Zsa QF Contractor` vy Add ress
Contractor Reg. N .
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.;
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT SLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: /
BASEMENT
Q NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit ca e issued. o
OWNER /CONTRACTOR SIGNED
-� OK'0 BY —