HomeMy WebLinkAboutME 1979-1653 New Single Family •
Permit No.
FEE SCHEDULE
CITY BLDG. r2,7.Sw CITY OF OAK / P� HE GHTS Plan No.
'SD _ // (For Dept. use only)
STATE PERM 0 73 Q 6 (.2//'/i�r�(/
BLDG. PERMIT IT /
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. (�/ /�
UTILITY CONNECTION �/ ^� f//� Date h - 19
TOTAL AMOUNT DUE `L�
STRUCTURE USED AS
REFRG HANG
MBARX BUILD PLUMB. HEAT INSTALL I I ALTER R EPAIR REROOF RESIDE MOVE WRECK SI N
SQUARES I ( ^ v� ' l r- - -I I `fl F `
Owner A ) Address
Architect Address
General Contractor 1 p 4 .- Address cS 9 � ' ,e -t - �6
Contractor Reg. No. r 7 e/yi"I L - Zf 0 a a ..i_ /s� e ('
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 OFSTORIES TYPE OF CONSTRUCTION ' ESTIMATED VALUE
STRUCTURE
7' 5 DETAILS OR REMARKS: �Q
BASEMENT ❑ YES AS • d e
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, a.r --'ng to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor- •— . scan be i•/ -.
OWNER /CONTRACTOR SIGNED 6 �! —
OK'D BY _