HomeMy WebLinkAboutME 1980-1744 Conversion Burner - BTU to Natural Gas _ Permit No. /7 /
FEE SCHE40 S 0 CITY OF • • P A' K HEIGHTS Plan No.
CITY BLDG. (For Dept. use only)
STATE SURCHARGE r 4,S D 11F/ '
BLDG. PERMIT n _�
CITY UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT � .� 19 �j(�
UTTRT S.A.C. D ote .I• _
_ 19 Qv
UTILITY CONNECTION _
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
BUILD PLUMB HEAT INS
REFRG ALTER REPAIR REROOF RESIDE MD WRECK SID
MARK
. INSTALL I L I r---I I r�) I _ —
SQUARES I I - r I -� '`
pp WW1 `�
Owner
1N1D)- Ca)co\-1-)ci x. n a-IZ0•A Address 10 - 5 f -.�d -1)°-
Address
Architect
General Contractor
_ '' Address
Contractor Reg. No.
•
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
iti 30 ,4 ADDITION OR TRACT
LOT BLOCK
I SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH DEPTH
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: r
BASEMENT 0 YES I ��,C z,. .Oo,, J7 , O
0
NO
The undersigned hereby makes application for permit to do Building Work as herein specified, eeing do all work in str' a cor with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befog er ' n be •
T
OWNER /CONTRACTOR SIGNED
OK'D BY