HomeMy WebLinkAboutME 1979-159 24,000 BTU Refrigeration Installation /' ,
Ir FEE SCHEDULE Permit No. /SL 9
CITY BLDG.. ` CITY 0 .' P - K HEIGHTS Plan No.
STATE SURCHARGE • S � / o (For Dept. use only)
BLDG. PERMIT )5 1
CITY UTILITY �
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date s 7 ?/
Iq_
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY XES n Ix] n I _ C U L
Owner I? P r a I 2 Ise r I fl a_ ti Address J 9' /1/0 l//al'''' SG l'A
Architect Address
General Contractor Ale k U )- ay.-ff 5 N . Address /7oR cco CP r «
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
BASEMENT
❑ YES DETAILS OR REMARKS: o? 00 Bry,
❑ 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 bef ermit can be i
. .. ER; CONTRACTOR SIGNED j S*C 2
OK'D BY