HomeMy WebLinkAboutBP 1979-1612 New Single Family •
FEE SCHEDULE " - ,/ i Permit No. ./
CITY BLDG.. /.33.cO CI .2 ' • • I. PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 14.0
BLDG. PERMIT illel
CITY UTILITY _.//_
METRO S.A.C. BG A.0 vl .Si�� APPLICATION FOR PERMIT
UTILITY CONNECTION Jo-0 .0,P Date ' — / 7 197 yy
TOTAL AMOUNT DUE 9y
ACs
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR RIERO RESIDE MOVE WRECK SIGN
SQUARES U I L.J �_ ��
Owner v WA G F� 3 /NC Address
r
Architect Address
General Contractor 3 t. - G.= - -4 8A a S ,.; c Address 58 f f 0 mj44 4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
J ?7 t-4.. Sb s, A/ C oRN&R 3 .g OSG oo0
LOT BLOCK ADDITION OR TRACT
/ J QR EKK E AA/G,.-f'T 2..
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT , O O / Z / S 3 Q t
WIDTH LENGTH HEIGHT INOOFSTOR!ES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE �J v / / / / ! �Q m 3 c� o o C — ,:
4 /' ' 1 aC
i
0 YES DETAILS OR REMARKS: i
BASEMENT L0
NO
1.
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 SAS
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