HomeMy WebLinkAbout2005-01-07 OPH Application for Contract Plan Review �' CITY O._
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OAK PARK HEIGHTS
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14168 Oak Park Boulevard No • P.O. Box 2007 • Oak Park Heights, MN 55082 -2007 • Phone: 651/439 4439 • Fax: 651/439 -0574
' 4 ` ' APPLICATION FOR CONTRACT PLAN REVIEW
Richard Lockrem #1237
1. Plan Reviewer Certification No.
7037 Sherwood Road — Woodbury, MN 55125
• Street Address w /zip
651.738.6034 richalock@aol.com
• Phone Fax E -mail
City of Oak Park Heights
2. Name of Municipality
14168 Oak Park Blvd.
• Street Address
Oak Park Heights, MN 55082
City, State and zip code
Jim Butler
• Contact Person
651.439.4439 651.439.0574 jbutler @cityofoakparkheights.com
• Phone Fax E -mail
3. Architectural Firm A Fr--; SS A i-c.., rl i 4-e . + 5
• Street Address ‘■.3 1 'E,--0,e.D A CD 4,2z__. n , „ i; +, ,:),0
• City, State and zip code ! V il A 5540
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• Contact Person p .--A ern ( \ -A g c�.,r
• Phone W D. 37 " ( 9.f 9 n Fax
E -mail
4. Building or Project to be reviewed n ( _,(9 fi
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• Address or location O ■ / e/9
Administrator approving submittal (signature) Date
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B ' i in: • fici.' . 'tea e Certification No. Date
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For Office Use Only City Project No.:
Plan Review F i Dated Invoiced: Date Paid:
Tree City U.S.A.