HomeMy WebLinkAboutPL 1993-3605 Bathroom Remodel FEE SCHEDULE CITY OF OAK PARK HEIGHTS Permit No. ' J‘'' 5
BOX #2007 Plan No.
CITY BLDG. OAK PARK HEIGHTS. MN 55082 (For Dept. use only)
STATE SURCHARGE
PLAN CHECK (612) 439-4439
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT y�
METRO S.A.C. N Date ' L /9 19P-3
S,v✓�s��C ilr T1t O Junker Sanitation To Be
TOTAL AMOUNT DUE ‘‘'() 2211 Contacted If Drop Box Is
Required.
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ri K a
By X
Owner ;NV
ei) a,-ii --1,2f-lv 5/)-7•' NU, 5-7 5 • Oc,6( A/�!:' /�t.sh/S
Arch itect / Address
General Contractor 7),./G ror15fwch"o-J Address
Contractor Reg. No. o C K YA-COA44,21&_. o n Y s . In
NO CONSTRUCTION TORT PRIOR TO 7:00 A.M.
NUMBER S TREE T SIDE I BETWEEN WHAT CROSS STREETS
115 5 q 5.11-1 Si--- Ai
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH • SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH I HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
YES
O DETAILS OR REMARKS:
0
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 a issued. /
OWNER/CONTRACTOR SIGNED r: / /
-./ OK'D BY.