HomeMy WebLinkAboutOT 1980-1721 Fence FEE SCHEDULE / Permit No. / 7 �
CITY BLDG. CITY OF e A PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT S• O0
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Dote c5 LP-P-- 19U(/
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD ALTER REROOF RESIDE GN
MARK PLUMB. HEAT INSTALL AR REPAIR ROF RE MOVE WRECK
SQUARES
XES n i 1 n i n n u
Owner .1 QA/`S %C . 70 e» r Address J- l!J (40/00- S‘ .57�
Architect _ Address
General Contractor ///ad "/9'/,/yl e ,i 4.4/'/.., Address
Contractor Reg. No.
74
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE QO
Sda.
O YES DETAILS OR REMARKS:
BASEMENT •
j '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 Permit ca be issued.
OWNER!CONTRACTOR SIGNED Li
OK'D BY