HomeMy WebLinkAboutBP 1979-1644 New Single Family FEE SCHEDULE 621.
\ •A / ? Permit No. Jr 7y
CITY BLDG. /33.0 CITY OF •A ' PARK HEIGHTS Plan No.
STATE SURCHARGE /G.O D (For Dept. use only)
BLDG. PERMIT /f_____
CITY UTILITY 5( •
EXTERNA' PLBG. /6. do
METRO S.A.C. ____
10.0-0 APPLICATION FOR PERMIT f � _ i� r/
UTILITY CONNECT ON Date t ig7 /
TOTAL AMOUNT DUE ?3(,(/L�Y_/�/�
lJL �_� !J
STRUCTURE USED AS
REFRG HANG
MARK BI I
BUILD PLUMB. HEAT INSTALL 1 ALTER REPAIR REROOF RESIDE Li N E WRECK SIG
SQUARES ' �/ 1 1 1 I 1 l I 1 1 -_ 1 L_J 1 7 a
BY X
I
Owner ,9 4J A G &R 8g oS J/vC Address
Architect Address
General Contractor 044.1 R 6 EA 5R 0$ A✓ G Address .s 8-9 r Q /rl4/1-,4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14/9o4 14/9o4 5-67-, S/ ./ CORNc/Z 66 r; i' S4 7 ". C/RCLi
LOT BLOCK ADDITION OR TRACT
S a. a Re/trsf f/rs 404 2.
WIDTH DEPTH I SIDE LOT CLEARANCE FRONT BUILDING LINE
V
LOT /O // 2 3 0 30
WIDTH LENGTH HEIGHT INO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 �/ uO / �,p�C 3 Q° O �.-
7 I 6 rf �-
BASEMENT
❑YES DETAILS OR REMARKS:
.O
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,'CONTRACTORSIGNED `' w/t-6e71. BR GS � - / .-C
OK'D BY _ z.i