HomeMy WebLinkAboutME 1976-1066 New Single Family FEE SCHEDULE
Permit No. /0 40
VILLAGE BLDG. r..2 7JZ) VILLAGE OF OAK PARK HEIGHTS Plan No.
SO • (For Dept. use only)
STATE SURCHARGE /
BLDG. PERMIT �3 00
VILLAGE UTILITY
EXTERNAL, PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date July 28 1 975_
TOTAL AMOUNT DUE /.1 A/C
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
-
SO
BARE 1 (X1 n
Owner Sw Broom, Inc_ Address 5R9R Omaha AVPni1P N ; Sti l IwatPr
Architect Address
c ontractor Schwan +es, Inc_ Address 61 Oasis Avenue N.; Stillwater
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14503 55th Street
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
TRUCTURE
$ 7.50 DETAILS OR REMARKS: Usin Lennox G12 3 -82
1ASEMENT O NO 15.00 4 Q gas-fired
.50 unit; 82.000 BTU input
$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
III ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED SCI N
470
OK'D BY — / _
President