HomeMy WebLinkAbout1992-3556 Plumbing - New Single Family ti -T a°�g�ai7r.'rta7J{f°Mg�rFAQ °'n. dr2,uza
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Permit No.
BOX #2007 Plan No.
CITY BLDG.
OAK PARK HEIGHTS, MN 55082 (For Dept. use only)
STATE SURCHARGE
PLAN CHECK (612) 439 -4439
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION fit' ":Z.�c'r rt�T1�g�,J. ) Date 19
J
TOTAL AMOUNT DUE 'O n L _ j , ~ STRUC RE USED AS
I
REFRG HANG
BY MARK BUIaI I�r�;/ -/��I�
PLUMa. HEAT INSTALL a AL REP RER RES Ma WaK SIGN
SQUARES
Owner J—�t!1 CLIP 9,_
Architect Address
General Contractor —Eum 1g-1 1ry,6 d - Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/3975 5 5A V.
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT INOOFSTORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
I 1 -7-
BASEMENT
O YES DETAILS OR REMARKS
Q NO
i
i
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 can be issued.
G OWNER /CONTRACTOR SIGNED
OK'D BY
FINAL INSPECTION DATE:
INSPECTOR SIGNATURE: