HomeMy WebLinkAboutBP 1980-1778 24' Dormer Wall (Rough In) •
FEE SCHEDULE Permit No. / 7 7 r
CITY BLDG. of , CITY OF O • , iK HEI Pio ° ( No. Dcpt. use only)
STATE SURCHARGE ir3 4....C:3 �i
BLDG. PERMIT 0
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT ` �
METRO S.A.C. Date 1 - S 19� �
UTILITY CONNECTION
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL �r�7
SQUARES fl __
BY X I I -
0,...,4
�� / ��� Address �" �9 Cwr
Owner ' 71 h
Architect # ., 4.---4--. 5""""' Address Jz�ig'.. ?"""
/� Se�Q
General Contractor 51e4 !�S �� e......,...7 Address 8'`fg� 77' -7-27
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
S G, '17 / 0^ ADDITION OR TRACT
LOT = OCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE C 6 0-e ,
0 DETAILS OR REMARKS: 1 y ' i�,ehtisc,(.
BASEMENT 0 YES o O /4
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 be issued.
OWNER /CONTRACTOR SIGNEd— i"`
OK'D BY