HomeMy WebLinkAboutME 1979-1630 New Single Family FEE SCHEDULE 411 Permit No. / /3c
CITY BLDG.. CI CI ' � P HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE •5 V
BLDG. PERMIT 013.0 -J
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT 971_ S
METRO S.A.C. q �J'
UTILITY CONNECTION Date 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MBARX BUILD PLUMB. AT INSTALL 7 � ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
U
Owner Addres
s r 051)11- ideGtie r
Arc ite t Address
-"� Contractor Address O X17 !'
Contractor Reg. No.
• _ 33
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ ER
/ /
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES 7• DETAILS OR REMARKS:
BASEMENT NO /5: Oe
a3 • oa R.z,
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in st - ct accor..nce with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef. .e ; it c- be ed..
OWNER /CONTRACTOR SIGNED " = %'�` , ��' � — ✓� -��
OK'D BY _