HomeMy WebLinkAboutME 1980-1745 New Single Family FEE SCHEDULE Plan Permit t N N
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CITY BLDG. .,S"D CITY OF PARK HEIGHTS No.
c,, (For Dept. use only)
STATE SURCHARGE sv �Qd
BLCG. PERMIT }
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT '6," rr
METRO S.A.C.
UTILITY CONNECTION Date - 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG
HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRE K SIGN
MARK _� l l
n il n u o
SOUR RES _- l VC.1 t
BY X ` (/! �I
Owner -�Ad... `ZROtJGAlt 0 — Address 55 CsAwr i‹.
Architect Address
General Contractor C1•ie+ I :cistr1 Address
ontractor Reg. No.
6 • 7/s- .5-49 - < -,Z97
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS .
LOT BL• ADDITION OR TRACT I
1 ■
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I '7ea /loan
0 sThe T) rir ,
BASEMENT YES
l,j NO Oil IRL Pew_ Lou aBo6!) ea $710 �a PIJ .
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 1 lAb
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