HomeMy WebLinkAboutBP 1989-3001 Pool FEE SCHEDULE /:
CITY OF • , f ,,, , H � . ' Permit No. .O� /
CITY SLOG. // > . d Ri J. " Plan No.
STATE SURCHARGE O Q OAK ! G / • N 55082 (For Dept. else only)
PLAN CHECK (6 2) , j 443`
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. S--/
UTILITY CONNECTION �/ Date f1 1
TOTAL AMOUNT DUE /. , �/�� ,
1 STRUCTURE USED AS
REFRG Q ° I HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR RER RESIDE MOVE S N
WRECK I
SQUARES - C C S t y
ay X a
Owner 1 G ✓`a-,t . w I l S 01 -'L
Architect Address
General Contractor I-$ I c moo 1 'd -��-"I O Address ( "Z—Z-- - 1 V O , S� 3 t ,
T
Contractor Reg. No. r Il \3 S—f- , +- ti l SS 0 7
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M. 2011/ 1 5 ` .— +) Q _ 1 3 1.-.
f
NUMBER \ STREET SIDE BETWEEN WHAT CROSS STREETS
14 ` I - O I V • ,/
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORI TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Ad
/0 000
❑ YES DETAILS OR REMARKS:
BASEMENT C) NO
-- 1e ✓ 0 I I.4.
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 befo nt n Issued, ,
OWNER /CONTRACTOR SIGNED /� /� A
OK'D BY
•