HomeMy WebLinkAboutME 1979-1658 New Single Family FEE SCHEDULE Permit No.
CITY BLDG. ‘,. CITY OF OAK R HEIGHTS Plan No.
� 7� / , (For Dept. use only)
STATE SURCHARGE _�_' �
BLDG. PERMIT 0� � — (#e I / / r
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT yy
METRO S.A.C. / / —� 8 1 J�
UTILITY CONNECTION Date 'J
TOTAL AMOUNT DUE
STRUCTURE USED AS
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REFRG HANG
BUILD PLUMB. HEAT INSTALL --71 I n �� L � � ALTER REPAIR REROOF R MOVE WRECK SIGN
MARK
SQUBY ARES X l ® I ( � I I I
Owner Address
Architect �S l Address s - e Qe" � P -
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-c9.6> General Contractor �' �G/ "� `,` Add 7 .
Contractor Reg. No. ' _ _ ...e-- - -
NUMBER —5.-71' STREET SIDE BETWEEN WHAT CROSS STREETS
/ /gy/ i)/1 s 7.
LOT
I BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BU ILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
7. f0 DETAILS OR REMARKS: I 2 „ "32
BASEMENT O YES ) (t cr
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 bee -rmi`can be issu- - .
OWNER /CONTRACTOR SIGNED - ! ...,� ....
OK'D BY _