HomeMy WebLinkAboutME 1989-2999 New Single Family //, a
FEE SCHEDULE ' / Permit No.
r . r -� CITY OF OAK ! 4; 0 101' HTS Plan No .
CITY BLDG. .3 43• (For Dept. use only)
STATE SURCHARGE .S—
PLAN CHECK
CITY UTILITY •
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D177 1 Xy
i' // f
TOTAL AMOUNT DUE STRUCTURE SED AS
REFRG HANG
MARK BUILD PLUMB. HEAT 1 ALL ❑ ALTER REPAIR REROOF RESIDE MOVE WRECK 5D
SQUARES
0
I ^ I _^ E jl ^� C
BY X
Owner
dir ' G Address
Architect Address
General Contractor — / / / .// i� Address ggig
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7 :00 A. M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/4230 SS-74 /_
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
' WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ,y �j)
O YES DETAILS OR REMARKS: /_S 7SL( 7
BASEMENT NO
C:w9e, ,via / % A
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work ;n st ' accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be issug.. / /
OWNER /CONTRACTOR SIGNED ` /
OK'D BY