HomeMy WebLinkAboutPL 1980-1728 New Single Family P ' .. "
Permit No. / 2
FEE SCHEDULE Permit
CITY OF • R • ' EIGHTS Plan No.
CITY BLDG. .( / � / (For Dept. use only)
STATE SURCHARGE ' C' /
BL PERMIT / ..
CITY UTILITY � o
EXTERNAL PLBG. APPLICATION FOR PERMIT 6 -..
METRO S.A.C.
U A �J Date �a�, ■∎17 191.a
D CS.i � <2''0?�Lm' D - v - = - - --�
UTILITY CONNECTION I
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD P HEAT INSTALL
SQUA RES X 11 �\I ` I ri I I ( 11 n n —
t ---
Owner c 2 CCO -21- 7 e " -- r Address / re`
Architect
Address
General Contractor Address
Contractor Reg. No. �����
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
/41 SSC Slo'1
LOT 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
DETAILS OR REMARKS: I
BASEMENT ❑ YES �jj��" c
CI NO !Li
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreei • do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before pe . r be issued.
i. - Z � �i
OWNER /CONTRACTOR SIGNED _
OK'D BY