HomeMy WebLinkAboutME 1977-1160 New Single Family •
FEE SCHEDULE Permit No. //(
CITY BLDG. .27.,AZ CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT A3
CITY UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date January 19 19 /2_
TOTAL AMOUNT DUE Residence
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES X X _— I
BYX X
Owner Mr. Don Schelander Address 14378 - 55th Street
Architect Address
G A'ontractor Schwantes In' Address 6192 Oasis Avenue North; Stillwater
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14378 55th Street
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
rRUCTURE
ASEMENT '{YES $ 7.50 DETAILS OR REMARKS: Using No. G12Q3 -82 Lennox
p NO 15.00 gas -fired system; 82,000 BTU input
.50
$23.00
he undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
Ill ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED SCHWANTES, INC.
OK'D BY
• A.R. Schwantes, President