HomeMy WebLinkAboutBP 1979-1561 New Single Family FEE SCHEDULE . - Permit No. /Sh/
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CITY BLDG. X34ee CITY 0 • ∎K PA' K HEIGHTS Plan No.
STATE SURCHARGE 46....,,,-,, (For Dept. one only)
BLDG. PERMIT ``,, Ly9,�
CITY UTILITY 47,,.3
EXTERNAI. PLBG. __
METRO S.A.C. y APPLICATION FOR PERMIT
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UTILITY CONNECTION e\'?Ine e-
DO Date /- — .3 19 -7 q
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TOTAL AMOUNT DUE / Rv` 'he /G C
STRUCTURE USED AS
REFRG HANG
BY FX I ^I I � `f ^ � ^
MAK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
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Owner � 3 1i`+J L 6 3.9" /L N,l Address
Architect Address
General Contractor SW'%vC. ,( Srz-1 7 ✓- 1 -7,-11 c- Address .J e ell A /4"g-
Conttractor Reg. No.
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NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
J yL $ - .I oc C;.u. .. Z...;} .r'` ,1
LOT BLOCK ADDITION OR TRACT
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WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT / .l 0 0O
WIDTH / LENGTH HEIGHT Na OF STORIES TYPE OF CONSTRUCTION q. ( ESTIMATED VALUE
STRUCTURE Z-/ L v / T A �L ��J� ;
7 3 Z.. gds 7--.- BASEMENT
❑ YES / DETAILS OR REMARKS:
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The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordanc with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor permit can b; issued., f ,
OWNER /CONTRACTOR SIGNED - / /.inj/1 i ""V
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L OK'D BY
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