HomeMy WebLinkAboutSI 1976-999 5'x4' Double Sided Lighted Sign FEE SCHEDULE Permit No. % f /
VILLAGE BLDG. f e3 4�_ VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE '
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL, PLBG. _ APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Dat / 197
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK IG
SQUARES
BY X l
V F W POST # 323
5S80 Omaha Ave. No.
Owner Oak Park Heights Address
Stillwater, Minn. 55082
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
olefiof C 1 a.....i
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
TRUCTURE
❑ YES DETAILS OR REMARKS: '7 u ' v Q�
,
BASEMENT ❑
NO /j(,Q��f�2FJtL� //61. --/C2'LC46
he undersigned hereby makes apa n for a p mit to do Building Work as herein specified, agreeing to do all work in strict accordance with
ill ordinances of the Village of Oak Par Heights. Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY