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HomeMy WebLinkAboutPL 1980-1771 New Single Family Permit No. 4.-21-1 FEE SCHEDULE -- 1 `` qq CITY OF OAK P HEIGHTS Plan No. CITY BLDG,. C v (For Dept. use only) STATE SURCHARGE ,'. >� BLDG. PERMIT CITY UTILITY CZI RNA PLBG. APPLICATION FOR PERMIT [���aaaU1 METRO S.A.C. Date _ 19 UTILITY CONNECTION © , 7�� TOTAL AMOUNT DUE ()/�('// STRUCTURE USED AS HANG RFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN MARK BUILD P UM HEAT INST �— ^ _. U SE SQUARES I I __ I I -- -- -� BYX I I Owner l■ - f ..4A...... . A —JL/.. Address 1 471 5 69 Address ry n Architect ►R0$ , So. IT -Q I_ del Contractor „,,,, tayl Address , e5 � -flt,. Q Contractor Reg. No. NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS ADDITION OR TRACT LOT BLOCK WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT TYPE OF CONSTRUCTION ESTIMATED VALUE WIDTH LENGTH HEIGHT NO OF STORIES STRUCTURE DETAILS OR REMARKS: ��4 ,� ❑ NO BASEMENT NO The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stric ccordance with all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be issued. OWNER /CONTRACTOR SIGNED OK'D BY