HomeMy WebLinkAboutME 1979-1654 New Single Family r./".■ /"^
FEE SCHEDULE Permit No. /e -5
CITY BLDG. o2c2. S-77 CITY OF OAK P. ' HEIGHTS Plan No.
STATE SURCHARGE 05-0 (For Dept. use only)
BLDG. PERMIT 2J 6
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 1` 2– 6 19E
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
SIGN
WRECK MOVE RESIDE REROOF BUILD
MARK PLUMB. HEAT INSTALL ALTER REPAIR ROF RE E WK
SQUARES n l I n n n n n n n n n
Owner Address
Architect Address
General Contractor �/! ' ..-- mi l ., Address (5 Qe 6544--2.....24 .
'
Contractor Reg. No. — % '_ , _ ., – _ 0 ....-' ,„ " - =/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/7.0? S 6 73 S; 7 ,
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
❑ YES DETAILS OR REMARKS: �J�
BASEMENT ❑ NO r C�
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 befor 1 -rmit can be i
OWNER /CONTRACTOR SIGNED �t , a — ����
OK'D BY