HomeMy WebLinkAboutPL 1992-3565 Remodel - Bathroom FEE SCHEDULE CITY OF OAK PARK HEIGHTS Permit No. 5565
4Q BOX #2007 Plan No.
CITY BLDG. OAK PARK HEIGHTS, MN 55082 (For Dept. use only)
STATE SURCHARGE r 5D
PLAN CHECK (612) 439 -4439
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Junket Sanitation To Be Date ,l1T. 30 19�
Contacted If Drop Box Is AGili (th
TOTAL AMOUNT DUE ( Required.
STRUCTURE USED AS
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REFRG HANG
MARK BUILD PLUMB.r HEAT INSTALL ALTER REPAIR REROOF RESIDE M WR n i
SQUARES ^ J I
BY X
Owner ,. Y r i; r ( /t;T-'l- r_.f_')
Architect Address 1 459 f7
General Contractor Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
,,// 5I /
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: , ('a
O 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 before permit can be issued.
OWNER /CONTRACTOR SIGNED / ,
O . / �/ (.11Z 7 , e-
OK'D BY /� GC � t'� � �_ —�