HomeMy WebLinkAboutME 1979-1634 Forced Air Furnace Replacement FEE SCHEDULE. p Permit No. / J
CITY BLDG.. /{ ,,5 CITY K PARK HEIGHTS Plan No.
_ _ O / ••••-• (Ror Dept. use only)
STATE SURCHARGE
BLDG. PERMIT / , 0 �'
CITY UTILITY
MXTERNA PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D ate 7 19t
TOTAL AMOUNT DUE • i
STRUCTURE USED AS
REFRG HANG
El BY X BUILD PLUMB. HEAT INSTALL ALTER REPAIR EPAIR REROOF RESIDE MOVE WRECK 91 N
El SQUARES C > 4 ' C � C E C
Owner f a . .=', .r Address
Architect Address
General Contracto �".!=- -- -_I� Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5 3 -e,. ?-o •
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 " DETAILS OR REMARKS:
BASEMENT ❑ YES /' °2`5
❑ NO C_
_� / n,Gq� /02.5 O`B-d
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 be re permit can be issued.
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OWNER /CONTRACTOR SIGNED y �Z
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