HomeMy WebLinkAboutPL 1992-3393 Alteration FEE SCHEDULE CITY OF OAK PARK HEIGHTS Permit No. 3 9 3
S. oo 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. q
UTILITY CONNECTION Date / 1 9 / /:
TOTAL AMOUNT DUE
5 Junker Sanitation To Be JQ �I�rh n
Contacted If Drop BOX IS
STRUCTURE USED
Required.
REFRG HANG
MA RX BUILD PLU B. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 7 17 1-1
BY
Owner t fy'I Ql' (' n 0_ ()A CLICJ Et
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
ly 2 gt 56#)
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
O YES DETAILS OR REMARKS: �4
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 register with the village before permit be issu
I� l
OWNER /CONTRACTOR SIGNED 4/1
OK'D BY
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