HomeMy WebLinkAboutPL 1992-3430 New Single Family a ^ x -r ••yvTa aAop Nr .. -.... ...! -,. :a r e « : �. _.;'.. .. '} n . `i}17. 7, •
FEE SCHEDULE '� CITY OF OAK PARK HEIGHTS Permit No. :3430
BOX #2007 Plan No.
CITY BLDG. / OAK PARK HEIGHTS, MN 55082 (For Dept. use only)
STATE SURCHARGE 1
PLAN CHECK (612) 439 -4439
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ��
UTILITY CONNECTION Date It 'IQ. 19_
Junker Sa itation To Tie
Is
TOTAL AMOUNT DUE
Requi el ,� . STRUCTURE USED AS
REFRG MAN
MARK BUILD PLUMB. HEAT INSTALL -. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGH
SQUARES ( ^JI I ^I ^ Fl a
C
BY X
Owner ? � `
Architect Address
General Contractor , 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
• WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ,
BASEMENT
0 YES DETAILS OR REMARKS:
O 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 registec_with the village before permit can be issued.
1
,' OWNER/CONTRACTOR SIGNED
l� J l `. --
OK'D BY --'