HomeMy WebLinkAboutBP 1990-3192 Remodel / �.
FEE SCHEDULE
.1 CIiY •� P�� :' - EIG Permit Ho. • 3/
CITY BLDG. 443 ( -" t) O, ! �!1! i r e ,.,• I r Plan No.
C �►, e82 (For Dept. um. only)
STATE SURCHARGE ��� Tom!
-PLAN CHECK 157. 12
CITY UTILITY
EXTERNAL PLBG. - tiro APPLICATION FOR PERMIT
METRO S.A.C. '/// q
UTILITY CONNECTION Junker Sanitation To Be Date 7' 199
Contacted If Drop Box Is
TOTAL AMOUNT DUE Required.
1 j/ /A• 76 STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SI
so ev X K ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
Owner j�j� 1 I' 1N! �✓V I
Architect u Address t r
General Contractor JV .flN �/pfuTztiT?o" Address 4ri 3a lPJNY (O( l ..F, 1
Contractor Reg. No. 4- 4 2°[ - rj
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
53 7 9 043 ciut . rG P. is
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 y 3 ( CO
BASEMENT
O YES DETAILS OR REMARKS: e[
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing do al ork in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit c j be i ed.
OWNER /CONTRACTOR SIGNED t l "' �N r ��
OK'D BY