HomeMy WebLinkAboutME 1979-1632 New Single Family FEE SCHEDULE ■
/
r' Permit No. /6" )—
CITY BLDG.. ...Z.2 `0 CIT' OF O. K PARK HEIGHTS Plan No.
STATE SURCHARGE rJ t) ' (For Dept. use only)
BLDG. PERMIT 023 0 ,, 0
CITY UTILITY �' FA
EXTERNAL PLBG. APPLICATION FOR PERMIT „
METRO S.A.C. /LS
UTILITY CONNECTION P' Date 14
TOTAL AMOUNT DUE 1,
A f A STRUCTURE USED AS
RE FRG /,� f / � / (9 , HANG
' A �R � ' >IR REROOF RESIDE MOVE WRECK SIGN
MARK
BUILD PLUMB. HEAT INSTALL %d �
SQUARE S n [ , , ,r, �� - ' 4) P 1 I f 1 -
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Owner C 4..."- ' /I) �� ress
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hit ct �/' , ddress
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`Contractor ',A r.... !. 7 , -t J / , ' ddress ■ II • e - e
Contractor Reg. No. ,
NUMBER STREET , ' 'SIDE BETWEEN WHAT CROSS STREETS
L S — t .
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
0 YES 7' '-c DETAILS OR REMARKS:
BASEMENT o / o
NO
oq,3 p 0 eTr o2, 0 - d 7(!J.•
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all • rk in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor . r it can be issu -d.
OWNER 'CONTRACTOR SIGNED , r c �„�- '
OK'D BY