HomeMy WebLinkAboutBP 1984-2268 New Single Family FEE SCHEDULE ( Permit No. 2 z / /�
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A�TYOAK PARK HEIGHTS Plan No.
CITY oLOG. 439.4439 (For o�nt, only)
STATF SURCHARGEaZ _
PLAN CHECK --
CITY UTEL`ITY
EXTERNAL PI.SG. �...... APPLICATION FOR PERMIT
METRO S.A.C. y�Z- �, G""O _ 9 /! Z / _ 7 G �j�[ '
UTILITY CONNECTION — d 0-0 1 O"CI _ �At@ �J 9 _
Nv!� .
TOTAL AMOUNT DUE i / l.� 11_:.C�.. STRUCTURE USED AS
REFRC HANG
MARL( SUILQ PLUMS. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK S;GN
SQ BY % 5
"X.
C . C ' Address
O wner
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Architect Address —
General Contractor � `��" �� Address
Contractor Reg. No
NUMBER STREET" SIDE BETWEEN WHAT CROSS STREE TS,,,,____,
LOT BLO CK / ADDITION OR TRACT
- -- WIDTH DEPTH SiOF: LOT CLEARANCE FRONT BUILD LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION EST IMATE(' VALUE
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DETAILS OR REMARKS:
SASE,NiENT Q YES
❑ 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 before p mit can be issued.
OWNER /CONTRACTORSIGNED_
OK'D BY