HomeMy WebLinkAboutOT 1987-2604 Concrete Slab / , �
FEE SCHEDULE '� 41111 t Permit No. eat" A V
CI 6 • • RK HEIGHTS Plan No.
CITY BLDG. �� 439 -4439 (For Dept. use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT �ryi
/�
METRO S.A.C. r,
�� 19
UTILITY CONNECTION p� pf Date
TOTAL AMOUNT DUE 7/[ ' 90 i / {__ d STRUCTURE USED AS
REFRG /�� I Add �hC SI�� •C HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR RER RESIDE MOVE WRECK SI N
MARK a ❑ . — � ^ _— 7 C
SQUARES
BY X -� - -- __
Owner j'1.. ZA‹ Address /914 5"5. fL
Architect ,, Address
General Contractor linr M E < 6e�.• 1*'"' Address /'' QC 6 t j .0h(
Contractor Reg. No. Ci1''AS'^ 0 /7) •
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M. a2 O G t 31111, .•
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 /O 7
DETAILS OR REMARKS:
BASEMENT ❑ YES
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreei to do all work ' strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before per can be i
OWNER /CONTRACTOR SIGNE‘—
\ OK'D BY