HomeMy WebLinkAboutME 1978-1471 New Single Family Permit No. 1 `�
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Pl N o.
(For Dept. use only)
CITY BL
UR CHARGE
1
STATE SURCHARGE ,r 2
BLDG. PERMIT `
CITY UTILITY
PXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date sPhtP.mh P.r 71 19
UTILITY CONNECTION
Residence
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
BUILD PLUMB HEAT INSTAL
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK . INSTALL rte') �I I I _— 1
SQUARES Ix I I I ._. I I U ( I Il I t •
BY X ll
Owner u .s• a .•
.Ia Address 14863 Upper 55th Street
Address
Architect
diAlitt ontract or Schwantes. Inc.
Address 1908 South Greeley St.; StiIIwater
Contractor Reg. No.
NUMBER
STREET SIDE BETWEEN WHAT CROSS STR ETS
14863 Upper 55th Street
ADDITION OR TRACT
LOT BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
$ 7.50 DETAILS OR REMARKS: Instal of gas -fired
o 'YES 1 5.00
BASEMENT ❑ NO heatin• s stem Lennox G1203 -82 82 000 BTU in.ut
$23.00
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 can be issued. e .
OWNERiCONTRACTOR SIGNED / j � NC / a w)
OK'D BY_ ,pL�„ '�J„ Xec. ( Vice Presider