HomeMy WebLinkAboutBP 1979-1613 New Single Family /.'.."`
FEE SCHEDULE Q v Permit No. /"'/ 3
CITY BLDG,. /,.1 P� CITYI - ‘• ` EIGHTS Plan No.
STATE SURCHARGE 07./9•413. (For Dept. use only)
BLDG. PERMIT /77o
CITY UTILITY , ‹5.Or)
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 9
UTILITY CONNECTION j./7-a Dot • 3 197!
TOTAL AMOUNT DUE
--23_a I
STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE Jr MO OV V ' E WRECK SIGN
SQUARES :)
I I l I I I U
BY X ., ,I
Owner 4 l e AI q/ /��5 //,SSE ✓ Address -577 �,9s7 ,C�E o sTch j t
Archi / ,9 /" / 7/4 / 1 / 47-5- Address � � /�- dcca -Gf.%1
General Contractor —s ,F2F Address
Contractor Reg. No.
Atli le to 0.4. : y 39' fie
NUMBER STREET SIDE I BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
4' / BRA gel m 2
WIDTH DEPTH 3� S SI IIDDE LOT CLEARANCE
/� 3 FRONT BUILDING LINE
LOT ffY , %5 * /5:02( HE H, NO. O / ` 5 OF CONSTRUCTION ry ESTIMATtD VALUE
STRUCTURE ,..3.---/ (/y�f
/ WOOD /Q OQ D
X (D DETAILS
` OR REMARKS: ']
BASEMENT !ES
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 per an be i ed.
OWNER/CONTRACTOR SIGNED )
OK'D BY _ �/�^''- ~4� --n,i_.