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CITY OF L.NK PARK HEIGHTS City Building $ _v
BOX 2007 State Surcharge $ •✓t'v
OAK PARK HEIGHTS, MN 55082_,-)'. Plan Check $
(612) 439-4439 City Utility $
�.� External Plumbing. .$
p.74, Metro S.A.0 $
BUILDING PERMIT No. - Utility Connection. . ,$
Parks Charge $
PLUMBING PERMIT No. Total Amount Due. . .$ /-SI. 5
(Make Check Payable to City of Oak Park Heights)
Structure Used As c -` —`>C'L 44 7 �L/ 677- TO,C.( Use Zone ±a Z.
j PERMISSION IS HEREBY GRANTED 9
Owner SC.�3�"7Z jTLt/L` l •e!>t Address ! 24i ,GU. c T_``i .5% ,2 1//.C1L>T1!of
Contractor Walit.6 �71Ui6'-�1( Address 05a--) /i a/(fLr✓ #6/
'' To carry out the work specified in this permit on the following described property, upon the express condition that said persons and their
agents, employees and workmen, in such work done, shall conform in all respects to the provisions of the Building Code. This permit may
be revoked at any time upon the violation of any of the provisions of said code.
JOB ADDRESS CLASS OF WORK
NUMBER STREET CITY NEW ADD SIGN ALTER REPAIR MOVE DEMOLISH
9 FRONT or AREA OF
WIDTH SIDE or LENGTH HEIGHT NO.OF LOT TYPE OF
IN FEET IN FEET IN FEET STORIES OCCUPIED CONST. OCCUPANCY MAX.OCC. VALUATION
LOAD
.1�'A1 ate
PROPERTY DESCRIPTION: 1
DIRECTION
•
i I 10
AUTHORIZED WO K/SPECIAL CONDITIONS: Ktyte(,(6--//E CG-
.----► 4.----...
NUMBER OF FIXTURES:
i . ISSUED THIS 3 DAY OF '4,4457- 19 --b
*PER T PI TI•N eAT.. A
BUILDING OFFICIAL/AUTHORIZED AGENT
A CERTIFICATE OF OCCUPANCY MUST BE REQUESTED AND ISSUED PRIOR TO USE OR
OCCUPANCY. *THIS PERMIT SHALL EXPIRE AND BE NULL AND VOID IF THE WORK
SITE PLAN AUTHORIZED BY THE BUILDING PERMIT IS NOT COMMENCED.WITHIN 60 DAYS OF THE
DATE OF ISSUANCE OR IF WORK IS ABANDONED OR SUSPENDED FOR A PERIOD OF 120
DAYS. TERM OF THE PERMIT IS 12 MONTHS FROM DATE OF ISSUE.
WHITE—APPLICANT
CANARY—MUNICIPALITY
PINK—ASSESSOR PENALTY FOR VIOLATION OF ANY OF THE PROVISIONS OF BUILDING CODE:FINE NOT TO
MANILA—BUILDING OFFICIAL FILE EXCEED FIVE HUNDRED DOLLARS($500.00)OR IMPRISONMENT FOR NOT MORE THAN
Form 4182 Disk-OPH 1 NINETY (90) DAYS, OR BOTH.