HomeMy WebLinkAboutME 1979-1656 New Single Family 1\ ,„,......4
FEE SCHEDULE Permit No. /4-5
CITY BLDG.. tan ....52, CITY OF OAK P) HEIGHTS Plan No.
C p / (For Dept. use only)
STATE SURCHARGE lt7"'
BLDG. PERMIT C2 cY \ 72"
CITY UTILITY •
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �
/
UTILITY 4E
UTILITY CONNECTION Date 1..-L 17 9
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ
l 1 7 N l l l] n n _ n __ a
Owner 77 7 44-/ Address
Architect Address
General Contractor S.!/ 944— es r0 %S Address `ref 9( a -'-
Contractor Reg. No. 7eA bZ a, r
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ / -Y..2 SSA
LOT 8 OCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: r� o i.? ,
BASEMENT 0
NO
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 bef a perm` can be
OWNER /CONTRACTOR SIGNED �14-r rti—
0 K'D BY