HomeMy WebLinkAbout2005-08-19 Application for Contract Plan Review CITY
} OAK PARK HEIGHTS
14168 Oak Park Boulevard No. • P.O. Box 2007 • Oak Park Heights, MN 55082 -2007 • Phone: 651/439 -4439 • Fax: 651/439 -0574
` APPLICATION FOR CONTRACT PLAN REVIEW
Richard Lockrem #1237
1. Plan Reviewer Certification No.
7037 Sherwood Road - Woodbury, MN 55125
• Street Address w /zip
651.738.6034 richalock @aol.com
• Phone Fax E -mail
City of Oak Park Heights
2. Name of Municipality
14168 Oak Park Blvd.
• Street Address
Oak Park Heights, MN 55082
City, State and zip code
Jim Butler
• Contact Person
651.439.4439 651.439.0574 jbutler @cityofoakparkheights.com
• Phone Fax A E -mail
3. Architectural Firm S ; ✓l j
• Street Address 3 1 0 kr)1` 1 .1p + `K ( Xy
• City, State and zip code V\ S / / Z
• Contact Person 6- N CO t
• Phone (05 I ' 90 4 4 /7 0 Fax (.,5 / V90 - / 7 E -mail
4. Building or Project to be reviewed t 1�� t!� n r (a
• Address or location S al 00 1 1 V 60,
• Construction Valuation
Administrator approvin: submittal (si . al e) Date
i -arm ,
702 o g / 0
B ui npti ial (s e) Certification No. Date
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For Office Use Only City Project No.:
Plan Review F = • : I Dated Invoiced: Date Paid:
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