HomeMy WebLinkAboutOT 198X-2446 Re-Roof n
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FEE SCHEDULE Permit No.l�`�
y s o--r) CITY •F •A RK HEIGHTS Plan No.
CITY BLDG. 439 -4439 (For Dept. use only)
STATE SURCHARGE J.
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date V7 9 ,S'.
TOTAL AMOUNT DUE L /1o' ti—C) STRUCTURE USED AS
Prey - pac .
7/ , d—) REFRG
HANG.
MARK BUILD PLUMB. HEAT INSTALL �^ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ri _— ^� n n n E
BY X
Owner d -,,.-Q- ,44....-1. Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
— -7.4.,
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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 S
0 YES DETAILS OR REMARKS:
BASEMENT
-
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to • • a work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo mit can •e `�
OWNER/CONTRACTOR SIGNE - S
OK'D BY _�
•