HomeMy WebLinkAboutBP 1979-1572 New Single Family / ``
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FEE SCHEDULE Permit No. /V 2�
CITY BLDG. j_ev CITY • ' A' •RK HEIGHTS Plan No.
STATE SURCHARGE /6 e 0O (For Uepr use only)
BLDG. PERMIT /
CITY UTILITY //// L43
EXTERNAL PLBG. ((Q•QD APPLICATION FOR PERMIT
METRO S.A.C. /796
UTILITY CONNECTION .300. 00 Date � Y 19'
.. - TOTAL AMOUNT DUE �� 6. v
STRUCTURE USED AS
REFRG HANG
MARK BUI PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE M� WRECK 5_IGN
SQUARES I `, } I I E
0
BY X I��J --�vvl I I ,
Owner ` 7 > Address f7 9 d 0 "-9
Architect Address
General Contractor <i �U✓ Address t/..- ✓
Contractor Reg. No.
'NUMMB`ER/ �T EET SIDE BETWEEN WHAT CROSS STREETS
LOT ! BLOCK ADDITION OR TRACT
6 ..1' ?.--
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT ev /3o / 6 -76 di
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 3- V ›IJ/ / 1-- /me— 3 y p.ci, ,
BASEMENT
p YES DETAILS OR REMARKS:
0
The undersigned hereby makes application for a permit to do Building Work as herein specified greeing to do all work in strict accordance "th
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef permit can be yssued
OWNER/CONTRACTOR SIGNE v ilv ` { ��
r'11 G OK'D BY