HomeMy WebLinkAboutME 1980-1678 New Single Family ,,••
FEE SCHEDULE
CITY BLDG. ,era .yG CI /y O O F OAI �, HEN TS Plan No. /�
STATE SURCHARGE �,�/ /
(For Dept, . only)
BLDG. PERMIT � J'I ,
CITY UTILITY
EXTERNA PLBG• APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION ��,,,,
TOTAL AMOUNT DUE
Date. - 19L
STRUCTURE USED AS
BUILD p REFRG
HANG
MARK
SQ I LUMB. NEAT INSTALL
ALTER RESIDE MOVE WRECK R REPAIR REROOF RE WSIGN
URES t I RI I I I ^ I pi
e ES t ) ' I E E 0
/(Owner - t G% vt "G14 �.�
Address �/ S ( ,�2 2t
Architect Address
General Contractor 5...",r7 Address
Co. • ctor Reg. No.
!-_ ; 37 -,si
•
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
/11 S/ $ ,S '
LOT
I BLOCK
I ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
YES D--el
OR REMARKS:
BASEMENT
0 NO I / S
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 bef permit cybe issu
OWNER /CONTRACTOR SIGNED -- , L�cZGas•
OK'D BY l V-:t