HomeMy WebLinkAboutBP 1980-1746 New Single Family FEE SCHEDULE 1..- O.' / , c Permit No. /
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CITY BLDG. A7.i, a-o CITY OF OAK 'A' K HEIGHTS Plan No.
STATE SURCHARGE 17 (TO (For Dept. use only)
BLDG. PERMIT /act tOe
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CITY UTILITY G,D'd
EXTERNAL PLBG. Ii'+ - o
METRO S.A.C. .S/a.S1 APPLICATION FOR PERMIT '7 p
UTILITY CONNECTION � � �
• Date � ' ^ 3 X98
TOTAL AMOUNT DUE ?.3 66,0-o /"1 nCS
STRUCTURE USED AS
REFRG. HANG
MARK n
I BUILD PLUMB. HE AT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I n n n a
B Y X 1111
Owner C J O NN c S Address
Architect Address
General Contractor S i,U ,t C E R RICO 5 //1 Address S r 9 8a 6 /11 A 144
Contractor Reg. No.
h / 3 9 - 7g //
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 g 67 6 - 6 7.. '57' /7/ 0 Z A Ai< 4 O'S Goo 0
LOT BLOCK ADDITION OR TRACT
g 5 A E KK € his ,1 f/DO
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT g3 /30 / 0 30
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE cP. y Ye / -2. l ,- t 9,$' d O d° -_
BASEMENT 0 YES
DETAILS OR REMARKS:
Jr NO
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 before permit can be issued.
OWNER /CONTRACTOR SIGNED V',
OK'D BY