HomeMy WebLinkAboutPL 1972-417 New Single Family 23.00 Village
.50 State Permit No 417
$ 23.50 (Building VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED
(For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date April 27 19 72
Residence
T0. STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES U
BY X �(
Owner Arvid Lindgren Address 14294 56th St. N.
Architect Address
General Contractor Ray W. Martin Plumbing Address 97 W. Golden Lake Raod
Circle Fine, Minn. 55104
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14294 561: St. N.
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
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO 10 connections
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 Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY