HomeMy WebLinkAboutBP 1979-1649 New Single Family FEE SCHEDULE T f 4 EIGHTS Permt No. CITY BLDG. ^ CI OF Plan No.
STATE SURCHARGE �I..L2 (For Dept. use only)
BLDG. PERMIT q / °9,w
CITY UTILITY ,SS, .0p
EXTERNAL PLBG. i‘
METRO S.A.C. 14 APPLICATION FOR PERMIT _
UTILITY CONNECTION jOO.ao Date 1 T71 19t.
TOTAL AMOUNT DUE 9 R -..
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ XES n n ii L I II II _ i I
Owner a (4/ 4 ,. Address ____ _ _ _
Architect Address '
S General Contractor c� W 4r.. A. RR O S /hic Address C fr if r dm P-44
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/0°1 6 - 6 r— dscaoo fi 024Rr<
LOT BLOCK ADDITION OR TRACT
3 AR iK<< //75 . A
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
WI
LOT �+ l 5 I .10 I 30
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
. _ STRUCTURE r,L q D / Z ( r A4 Ai c 3.1 o `
T I
BASEMENT
0 YES DETAILS OR REMARKS:
ig NO
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 Lv' C Ca- I r 1 ✓ r LYa /k c
OK'D BY _ An y� „t,