HomeMy WebLinkAboutME 1980-1743 Oil to Gas Heating Conversion FEE SCHEDULE
Permit No. /7 ■
CITY BLDG. 7 SO CITY OF • • PARK HEIGHTS Plan No.
_ / (For Dept.use only)
STATE SURCHARGE iS O -
BLDG. PERMIT r.,96, / /r
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT ? j
METRO S.A.C. 19 UTILITY CONNECTION Date p�f n_� ^,, I7�'+
•
TOTAL AMOUNT DUE R.es 4c(€n,X.
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
-
SQUARES `II/`/t/'lll
BY X
Owner ,-DaN/ ZI. '`r^-4■.fte/ Address 145 a 57 S-64 ■0'
Architect Address
—
1-Contractor SoI AJ f'i.S, -.i--I'IG. Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
114532 57 6-hikei No.
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
BASEMENT
0 YES DETAILS OR REMARKS: �...`e,
0 NO /3 7 o-°-d ii%w's - m...9
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with ,'c
all ordinances of the City of Oak Park Heights.Contractors must register with the village befor ermit can issuer. .
_ .
OWNER/CONTRACTOR SIGNED , �„r-✓✓ "'� i'
OK'D BY
FOR PERMITS ONLY