HomeMy WebLinkAboutBP 1980-1689 Remodel FEE SCHEDULE j ✓ Permit No. R.', 8'
CITY BLDG.. '2'S'°"9 CITY OF OAK P . ' K EIGHTS Plan No.
�� "S"'... (For Dept. use only)
STATE SURCHARGE i�.v�'
BLDG. PERMIT /•7^5
CITY UTILITY
EXTFRNA` PLBG. APPLICATION FOR PERMIT
METRO S.A.C. / /�
UTILITY CONNECTION Date (� / 191Z_
TOTAL AMOUNT DUE
4 �444.,...t 2.2.5 . ahc% STRUCTURE USED AS
!U/ REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ y 1� 1 ( 1 l 1 n 7 . 1 k f �l Li (�l E
A z-
Owner iiii/r 9'P—r /4 /VJcv4 le, Address Pi re's DIPPER SS -f ,0o,B /4
Architect Address
General Contractor -S-e f Address
Contractor Reg. No. 0
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/yeg Z e,C SS '
LOT BOOCK ADDITION OR TRACT
WIDTH DEPTH SIOE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
0 YES DETAILS OR REMARKS: 5 �� ' ��
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified •greeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef.,/permit can b ,- /
OWNER /CONTRACTOR SIGNED./ -g ``'�. -/
;,.i• BY