HomeMy WebLinkAboutME 1980-1695 New Single Family _ s
FEE SCHEDULE A
CITY BLDG. �Q d CITY 0 OAK PARK HEIGHTS Permit No. ii _
-TE SURCHARGE �
Pion Np,
ELOG. PERMIT /i (For D ept. use —_
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CITY UTILITY
EXTERNA PLSG.
METRO S.A.C. APPLICATION FOR PERMIT
UTILITY CONNECTION �C'',�!
TOTAL AMOUNT DUE t Date -�� Q 1 G�
STRUCTURE USED AS ��1
REFRG
MARK BUILD PLUMB. HEAT INSTALL
SQUARES ❑ ALTER REPAIR REROOF RESIDE W HANG
BYX Er ❑ EROO 0 C ESIDE MOVE _.RECK D
Owner 1 .11 1 /.": ALAI: — • r
Address
Ar hite t
Address
I Contractor �Nre
Address
Contractor Reg. No.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STR ETS
.0 S(o�`'
LOT BLOCK
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE
LOT FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ___
IIIIIIIIIIIIIIIIII
BASEMENT ❑ YES
J. 06 DETAILS OR REMARKS:
CI NO
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The undersigned hereby makes application for a permit to do Building Work as herein specified . • eeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village brmit can be i ed.
OWNER /CONTRACTOR SIGNED . ✓ 1
OK'D BY