HomeMy WebLinkAboutME 1980-1787 New Single Family • Permit No. / 7'� /
FEE SCHEDULE „ r , / • •_' K HEIGHTS Plan No.
� CITY OF • �, use CITY eSUR (For Dept. u only)
BLDG. PERMIT
STATE SURCHARGE , CO 5 /
x3 '06
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT �
METRO S.A.C. AO 1d
UTILITY CONNECTION Date
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
BUILD PLUMB RE FRG ALTER REPAIR RE� F RESIDE MOVE WRECK SIGN
MARK
SO P HEA TALL If. INSTALL 1 1 I r'-I I I I 1 1
BVR(ES I 1 l I 1 1 1 1 l n U
Owner '. ifirl'aide--1...• Address ) 4' 39 L 55
Architect Address
�ct+� Ig05 S. & / Sill VJ
Contractor e�l'�Wa�eS �_�' Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ 5 .
LOT
cL' K ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
'2 , S G / • / °OJ DETAILS OR REMARKS: 82 000 ( --- `T tA--
BASEMENT ❑ YES /s, 0,9 /. _
❑ NO i 3 D .mow Ne,V�I TWm.11-Ate, Ins . i l afl on , A,rr.. Qh.r>7..,<rl
cim -wok
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 ermit cae issued.
OWNERiCONTRACTOR SIGNED � rr*L1
OK'D BY
FOR PERMITS ONLY