HomeMy WebLinkAboutME 1979-1637 New Single Family •
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FEE SCHEDULE Permit No. / �3'
CITY BLDG. c � CI` O K PARK HEIGHTS Plan No.
STATE SURCHARGE i3 (] (for Debt• use only)
BLDG. PERMIT -.7.13
CITY UTILITY
EXTERN"` PLBG• APPLICATION FOR PERMIT
METRO S.A.C. /� j
UTILITY CONNECTION Date /? z 7 19_
TOTAL AMOUNT DUE
SURE USED AS
REFRG. HANG
MARK BUILD PLUMB. N INSTAL ALTER REPAIR REROOF RESIDE MOVE WRECK S't•,ry
SQUARES C / n n 0 0 C I I'_� I
Owner >:q.i ���/// �/� Address
Architect Address
General Contract Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT 0 No / J U—A DETAILS OR REMARKS: 7�j
.
9 467e L,
. __A-- 9L /
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 re permit can be i�1Ied.
OWNER /CONTRACTOR SIGNED r /2y7 �A,�Z
OK'D Y _
,„„, ,, - did ,pringb ; rn -
To v cl�Tyy GE CLE,� D 9 / 2 7 /7 9
OFFICE OF 1
N��"� (New) t/) 1
L OCATION___________ Oak Park Heights
.ADDRESS 5545 - 56th Street
Circle Barth
NAME Glen Johnson Constraction
I
j
■
INSTALLATIO "'-
Carrier
t Pursuant to the provision of Ordinance No,
dinanc
tion n of ating the Issuance of Permits for the In
ic Regul stalla-
Fired ed Equipment" dated - --
Company certifies that it has capacity and f a
serve such installation, the Northern
States Power
____,,Replacement of old equipment conform to Ordinance acuities to
Heat Loss dtnance No,
Input 7 S 000
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VOID AFTER � NORTHERN STATES
PO COMPANY
19__ B
Y
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