HomeMy WebLinkAboutBP 198X-2425 Fireplace /,
/ . ----- FEE SCHEDULE �, • Permit NoP' S
CITY OF OA PARK HEIGHTS Plan No.
CITY BLDG. ..S 439 -4439 (For Dept. use only)
STATE SURCHARGE . SD
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ' /
UTILITY CONNECTION _ Dpte �.�
19 x.
C r a • I .l A O �� g i
TOTAL AMOUNT DUE s- — Si i 1J ST CTURE USED AS
REFRG HAN
MARK BUILD PLUMB. HEAT INSTALL _^ A LTER REPAIR REROOF RESIDE J( M OV OV � E WRECK SI
SQUABY RES X l E n n n n t I C
Owner k(1- d-- , -A- , LeL g a t 1--39 3 7Address
Architect .,,e Address
General Contracto . . off 4 (I,�,dG . Address )i 35T. • £. Ad.
Contractor Reg. Nro. �� _5 c oZ S
A 3/ 23
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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 Pt.?
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ 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 . ' )■. . k i ►♦
I
OK'D BY_
•