HomeMy WebLinkAboutME 1980-1673 New Single Family FEE SCHEDULE Permit No. /' 73
CITY BLDG. 21 5 D CITY OF OAKP , HEI HTS Plan No.
/ (For Dept. use only)
STATE SURCHARGE 0 5, / /
BLDG. PERMIT ` ✓`
1 '
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION 19Y
TOTAL AMOUNT DUE
S RUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL j ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
54
SQUARES `_ I l n I l n n n u a
BY X �/� _�
Owner X 4�"y� - Address
Architect 11 Address
General Contractor _.„ds„,,atti Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.5'6 s� ) (0 ji. A .
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
1.. DETAILS OR REMARKS:
BASEMENT
0 NO Is
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 permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY