HomeMy WebLinkAboutMR 1979-1661 New Single Family FEE SCHEDULE Permit No. /4)7
CITY BLDG. 0 71 . tr - D CITY OF OAK P% j� HEIGHTS Plan No.
(� � / / / (For Dept. use only)
STATE SURCHARGE �
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BLDG. PERMIT 073 . V r�
CITY UTILITY �j 1
EXTERNAL PLBG• APPLICATION FOR PERMIT
METRO S.A.C. ,.�/
UTILITY CONNECTION Date // 4S ' g 1
A TOTAL AMOUNT DUE
STRUCTURE
USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL 7 L ALTER REPAIR RE ROOF RESIDE I MOVE WRECK SIGN
SQUARES rU Li 1 ^JI U U
BY X
Owner Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
YES
DETAILS OR REMARKS: 602 9-0o,
❑ 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 befo er it can be i
OWNER /CONTRACTOR SIGNED
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OK'D BY