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HomeMy WebLinkAboutME 1980-1755 New Single Family P ermit No. ��'� FEE SCHEDULE CITY OF 6, A HEIGHTS Pl an No. CITY BLDG L- 00 / Id (For Dept. use only) STATE SURCHARGE ' / BLDG. PERMIT . / , CITY UTILITY gXTERNAL PLBG. APPLICATION FOR PERMIT it C{ 7 METRO S.A.C. Date / / l 19 � UTILITY CONNECTION Res t &NI i TOTAL AMOUNT DUE STRUCTURE USED AS HANG RE FRG A L R REPAIR REROOF Ri SI IE MOVE WaK SIGN MARK BUILD PLUMB. ME AT�fNSTALL _-, I ^ I U U SQUARES fl f n a __ - ' BY X I I Owner l..hl`I S et kAlA { "ri I es Address Al // ,I Address Architect Address General Contractor Contractor Reg. No. SIDE BETWEEN WHAT CROSS STREETS NUMBER � lip. cak T � ADDITION OR TRACT LOT BLOCK g . 5 6rekk -e- f1/ # 116 Rio WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT 13 /3 0 /0 3o WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE an 2 7 1 0 /(2 DETAILS OR REMARKS: /Ca) °C(P) QTv �i ors YES BASEMENT 0 NO The undersigned hereby makes application for a permit to do Building Work as herein specified, ogre ' g t do a work in strict accordance with all ordinances of the City of Oak Park Heights. Contractors must register with the village before r _ca e i v � ' � OWNER /CONTRACTOR SIGNED OK'D BY _ ._