HomeMy WebLinkAboutME 1980-1769 New Single Family Permit No. ./ 7 G
FEE SCHEDULE CITY OF PJ K HEIGHTS Plan No.
'Cc (For Dept. use only)
BLDG. PERMIT p
CITY B SUR CHARGE 4,2.. S O 4/ ♦
STATE SURCHARGE � '�'} OD '
L.,J
CITY UTILITY
Fl. PLBG• APPLICATION FOR PERMIT 1"-- /��/
METRO S.A.C. p / " 19 ��
UTILITY CONNECTION
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REFRG. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK B rrr U --- - P LUMB. EAT INSTALL a ` . U L
SQUARES I I
BY X
L
Address 56 0� k_
Owner I: Il_' . fA.
1 Address n
Architect MOS SO. Gi3.
Contractor � W a11 eS •��•' Address
Contractor Reg. No.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STR ETS
5(24 OZagk ADDITION OR TRACT
LOT BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE nn �['
DETAILS OR REMARKS: &14a€.Q t1 0l '
❑ YES 1 _
BASEMENT O NO an E sra-,1.
C • • ( 1 sz,ow viik
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
OK'D BY
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