HomeMy WebLinkAboutBP 1979-1602 New Single Family /1/Af /(o '2"—d FEE SCHEDULE 4 Permit No.
CITY 8LOG. egrrer' /98'1" CIT • •A• PARK HEIGHTS Plan No.
STATE SURCHARGE Lfr"1 r : / 8 ''SO (For Dept. use only)
BLDG. PERMIT /4/;: ...CO
CITY UTILITY ..5
EXTERNAL PL /Lt.„-.
METRO S.A.C. y1 APPLICATION FOR PERMIT
UTILITY CONNECTION •aa•o..?
916 7 /7 ) Date 7,7 7 19
TOTAL AMOUNT DUE / 17°
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB HEAT INSTALL ALTER REROOF ^ AT AR REPAIR ROF RESIDE MOVE WRECK SIGN
K
SQUARESZ I I n I l n n n _ _
BY X L
Owner • - Address stYSif laira,...-i(.a.—
Architect Address
General Contractor Address
Contractor Reg. No.
?hdine
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
� ‘ sea. a/ 2 .
LOT BLOCK ADDITION OR TRACT
_/ //
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT V t /Jo • to , ...io
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE .Z 4 "11' Q /
r / C4 411/1/ 7
0 YES DETAILS OR REMARKS!
BASEMENT Ws• / fir
NO S ' d - .w..b a.$s....� oiv /YF35/ - 'r oa A.,..... AL a7,L ,
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef. e permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY