HomeMy WebLinkAboutME 1979-1631 New Single Family •
FEE SCHEDULE 1 / ■ Permit No.
CITY BLDG.. ‘ ,.7..? .5"D CITY e • • PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 1 o3
BLDG. PERMIT
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT 9. / 2..s *'''''
. / ,_ s
METRO S.A.C. ( �
UTILITY CONNECTION Date • 19?
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
MARK PLUMB. REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BUILD PB. H AT INSTAL �-
SQUARES n n n n n1 1 n n u
Owner �� it Address Pe (05-2--A,4:62,_.,€*,
A Itect Address
a �_�
Contractor ����� Address
Contractor Reg. No.
q3? �,I..7 .7/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
P77- ,3 _ciPi 7,b_.
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
7• .30 DETAILS OR REMARKS:
BASEMENT O YES / ,
NO .5V
off 00 A2, --,..,...-.,--
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stri •cco - • with
all ordinances of the City of Oak Park Heights. Contractors must register with the village •er• It can be issuip -Tr
OWNER /CONTRACTOR SIGN • � -
OK'D BY _