HomeMy WebLinkAboutME 1979-1587 Fireplace Perm(Fit or NoD.
FEE SCHEDULE �/
CITY BLDG. ei. '/' . (t'i7 CITY 'OF'OA PARK HEIGHTS Plan No.
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STATE SURCHARGE / �7
BLDG. PERMIT O / 7
CITY UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. G
UTILITY CONNECTION Date /�_ J 19
TOTAL AMOUNT DUE
STRUCTURE USED AS HANG
REFRG / • I ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL.
SQUARES _, _. I I i �\ ( -_
BY X ` -� `-. —
Owner
/Y/ All
' Y /'C' Address ---
ddress ""87.3 6 f/ $L /I0.
Architect ,�/ ,�/ Address
General Contractor /5 ?. 2' 7 / 9 " /�mi- / Address .2001 G yke4/-e oeirAc S .
T
Con ctor Reg. No. �.
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NUMBER STREET SIDE BETWEg WHAT CROSS STREETS Yy
H3 7 3 S ‘ ,Q- )La ,
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
r
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OFCONSTRUCTION ESTIMATED VALUE
STRUCTURE a 5 j 0
0 YES I DETAILS OR REMARKS:
BASEMENT G NO
The undersigned hereby makes application for a permit to do Building Work as herein specif'ed, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village b ore permit can issugd.
OWNER; CONTRACTOR SIGNE
OK'D BY