HomeMy WebLinkAbout1987-11-23 to 30 SE Permit n
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FEE SCHEDULE ju/ / Permit No.vel 7/ '3
CITY OF„:: j1'"" EIGHTS Plan No.
CITY BLDG. 439-4' 9 (For Dept.use only)
STATE SURCHARGE /
PLAN CHECK _ .�/JI
CITY UTILITY /
EXTERNAL PLBG. APPLICATION FOR PERMIT _ '2 1
METRO S.A.C. Date I lI
UTILITY CONNECTION /(/at 3 —>O /
3 Xs
STRUCTURE USED AS
TOTAL AMOUNT DUE O l
REFRG U
HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF REE MOVE WRECK SI N
MARK
SQUARES n n n n n
BY X
Owner f1 9 bt) Address
Architect Address
General Contractor Address
Contractor Reg. No.
NO CONSTRUCITON TO START PRIOR TO 7:00 A.M.
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
DETAILS OR REMARKS:
BASEMENT 0 YES
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict cordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit a. be issued.
OWNER/CONTRACTOR SIGNEC � A(4/-
OK'D BY
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