HomeMy WebLinkAboutME 1980-1699 New Single Family /
FEE SCHEDULE
( '// ' Permit No. X SS
CITY BLDG. _ CITY • F OAK • RK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE .(�
BLDG. PERMIT v
CITY UTILITY
gXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION T Date 4/D 119543 TOTAL AMOUNT DUE (((('''''''J'���� '. .. a
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER OF R
INSTALL LTER REPAIR REROOF MOVE WRECK SIGN
SQUARES l I VII n n n n UE C
BY X LLB
Owner _SC11Q.Q - - 1�� Address
Architect ! Address
General Contractor
--5 0.114.1)501.1 Address
Contractor Reg. No.
53 9 - 3 3 . 3 /
NUMBER STREET e/� SIDE BETWEEN WHAT CROSS STREETS
/y7R'7 �
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
0 YES DETAILS OR REMARKS: ,ate,' X/ C y-
BASEMENT o NO 'go?, Q
The undersigned hereby makes application for a permit to do Building Work as herein specified, - . -eing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo it can be i•.
OWNER /CONTRACTOR SIGNED Qom ---' 4 4 ' .e
OK'D BY