HomeMy WebLinkAboutBP 1979-1610 New Single Family FEE SCHEDULE t Permit No. /C /0
CITY BLDG.. /_� .aD., CIT'Y'' . - 'ARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE )7 /
BLDG. PERMIT ��'p 7, «S
CITY UTILITY s l J y _ r(2
EXTERNAL, PLUG. L.f� =_:Z.1.4:—."? �PP������Ot FOR PERMIT
METRO S.A.C. /htS `
UTILITY CONNECTION 3et-0 •e'd Da1e d P 19 5
9
• - -- TOTAL AMOUNT DUE / S VS 8±13
STRUCTURE USED AS
HANG
BUI PLUM
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK H HEAT INSTALL I rI f
SQUARE S I I H I I l 1 1 I fl — l l L
Owner v (A1 4 r c 2 -1 'Q 0 S / N G Address
Architect Address _
General Contractor 5t ., A - (j , t? Re 4S / AC.. Address Address Zr ? 1' ,0r0 A tl,‘.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
it
Pi9;3s' .SL `rT ti-d tortnic: 5 6 6Z
V
LOT BLOCK ADDITION OR TRACT
T
/3 b L� /� c'KKN� /�lE l6n?
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT //')-- / 30 / I 7 d
WIDTH LENGTH HEIGHT 1 NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
o? -
STRUCTURE 2 ,/ y0 /�p 5ft/ TEA" .Fie m y d 0 ks
e 3 I
7 DETAILS OR REMARKS:
DYES
BASEMENT
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 CONTRACTOR SIGNED V Aitt:1,-.4 ... t,
OK'D BY
1