HomeMy WebLinkAboutME 1979-1660 New Single Family FEE SCHEDULE Permit No. 1/4
CITY BLDG. pi..Z. "1-7, y, CITY OF OAK P;' IGHTS Plan No.
STATE SURCHARGE r Jv '' --\\ /,�r/�' /1 �/ / (For Dept. use only)
BLDG. PERMIT c ^^ VV l/ / /
CITY UTILITY
EXTERNA` PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date "° ? . 411C 1?
TOTAL AMOUNT DUE
STRUC URE USED AS
'- - - REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES n n n II n __ I l l D
BY X
Owner -17.-4— P —tom"" Address
Architect Address /
General Contractor • .. ��_ ��% Address S ' e 7 rr(4l Q-�
Contractor Reg. No. / / /2.r_ 9Ile s /7( &,' I /1/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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: ?cg/Ate
BASEMENT
0
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, a. - g to do all wo - trict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor: • or t ca the issued.
OWNER /CONTRACTOR SIGNED Aber.` aa� •
OK'D BY