HomeMy WebLinkAboutOT 1988-2084 Re-Roof ~....4
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FEE SCHEDULE CITY OF • 1 .,J/ •' Permit No. `�� 5`
t•'# i Plan No.
I
CITY SLOG. O OAK P' "K f- 1 O$2 (For Dept. nee only)
STATE SURCHARGE '
PLAN CHECK (61 ) 439 - 9
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 9
UTILITY CONNECTION Dat �- /.- 1)r�LJ'+ �
5-- TOTAL AMOUNT DUE � O 1S i l 7 1 ; a L
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR O RESIDE MOVE WRECK SI N
SO BY XES D
Owner . (341fl< �Oh-?) ' I: - ;-/c7 - 7 4- * /T po i
Architect = Address
General Contractor '�� e Address
Contractor Reg. No. .- i- e-A-5-2+ -.. /SC, ..5 �'
NO CONSTRUCTION TO START PRIOR' TO 7:00 A.M.
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 6 �
a
O YES DETAILS OR REMARKS:
BASEMENT 0 NO ' f-e�,e 6 ' ,G J j -' eo -
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_ 'l fe
OK'D BY v
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