HomeMy WebLinkAboutPL 1979-1585 New Single Family FEE SCHEDULE
Permit No. /...5 Q 5
CITY BLDG. /7a CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE r_ (For Dept. use only)
BLDG. PERMIT 77 O
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION rl �/ ,q�� Dote 46 — /7' 19
'�
�� L N. �! r
TOTAL AMOUNT DUE �
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL �^ ALT REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES \ � /�� I 1 [ 0
BY X n I X J l • C 4.9**** �.�/(/� 1111
Y om ..._ V d ' 40t,4 •••",,C1
Owner
r Address
Architect Address SCHWANTES, INC.
General Contractor Address 1908 South GrePIPy St
Contractor Reg. No. Stillwater, MN 55082
done; 5/2,-___T-3.3, Phone: 439 -3331!
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
..5 ei sa ,e-
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
❑ YES DETAILS OR REMARKS:
0 ..O
The undersigned hereby makes application for a permit to do Building Work as herein specified, . • Being to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor .rj an nit c be i
T
OWNER /CONTRACTOR SIGNED d O.
OK'D BY
•