HomeMy WebLinkAboutME 1979-1629 New Single Family - VOID n
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FEE SCHEDULE 4 .# Permit No. / 5'
CITY BLDG. el p2. ' ` O CI S - • ■ K PARK HEIGHTS Plan No.
(For Dept. 'u use only)
STATE SURCHARGE AJ
BLDG. PERMIT 00.0o
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT / ,_ g .--
METRO S.A.C.
UTILITY CONNECTION Date 19
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TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
SODA X ES
BUILD PLUMB. HEAT INSTALL ' I ` ` R ' PAIR RE� F RESIDE MOVE WRECK SIGN
^I NI l` 1
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Owner _ . L
L „ � e . Address L 7 ° � l' e t f � '
Arc 'sect ddress
.sr aw l Contr actor —% '.��i1_ -- dress ` Al • �11 /—../_'. _
Contractor Reg. No.
N MBER M111.11111MWEIIIMMIK DE 11111_1T IMITE
Sam ' , 1111111111Millawri �
LOT BLOCK ADDIT ■'1► OR :TRACT TAI'M
I . I I I I . 1 EMM 1 I 11 NEN I I P -
WIDTH DEPTH SIDE LOT CLEARAN gifij;j,T BUILDING LINE
�� LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRU TION ESTIMATED VALUE
STRUCTURE
O YES /0 DETAILS OR REMARKS:
BASEMENT O NO 7.
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The undersigned hereby makes application for a permit to do Building Worl as herein specified, agreeing to do all work in s ' t acc ce with
all ordinances of the City of Oak Park Heights. Contractors must register with the villages it
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OWNER /CONTRACTOR SIGN •
OK'D BY _