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FEE SCHEDULE ¥ / Permit No... 6 y�
7 CITY OF 0 • K ' ' ' -0 EIGHTS Plan No.
CITY BLDG. 439 -4439 (For Dept. ,,,,e only)
STATE SURCHARGE _9 ,J d
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date_ / 7 19,),
TOTAL AMOUNT DUE 7‘/....c0 ,____„2- .�-. ,,—,
STRUCTURE USED AS
REFRG HANG
MARK BUIL D L PLU HEAT INSTALL ALTER REPAIR RER ❑ OOF RESIDE MOVE WRECK SIGN -
Sp BARES / ,r • � - I I I lyl I I E a ` - C
BY x -
Owner s (/ , -4 jr,---p- jr,---p- - --•-w- Address.
Architect // �y Address
General Contractor . 4 v. : e . C.— Address
Contractor Reg.
NO CONSTRUCTION TO START PRIOR TO 7:00 .A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
ti—
/X° z G
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 .5 did
0 YES DETAILS OR REMARKS:
BASEMENT
0
NO
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 —