HomeMy WebLinkAboutME 1980-1726 Furnace Replacement , _
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FEE SCHEDULE 1 ,//' / Permit No. /7 (,
CITY BLDG.. 4,0-e, CITY OF O - PARK HEIGHTS Plan No.
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(For Dept. use only)
STATE SURCHARGE l V` ``�
BLDG. PERMIT V
CITY UTILITY `
EXTERNAL. PLBG. APPLICATION FOR PERMIT • z
METRO S.A.C.
(I �
UTILITY CONNECTION Date 'a - 192J1
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I 7( I I I 7 U n n a
BY X 1 \ I ll -- `-
Owner &ft.11.e A I V l �lA1.o Address 37 1i7- 1, c- .
Architect Address
4 tIgA Contractor 1 _4 GL' n Address
Contractor Reg. No.
{ �/ R/ NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT : SOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF •" OF • • ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT 0 YES A
il
0 NO , /lI eer.e /' nom. ✓ -/1. . a, r /c 2 036- //O
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 )nm1in, .9
OK'D BY