HomeMy WebLinkAboutOT 1989-2868 Re-roof I''''''
FEE SCHEDULE CITY OF 0. ��c� - -HTS Permit Na. c:,2 8-68
.•t woo Plan No.
CITY BLDG. LJ'`�•O OAK PA,., ''. N 55082 (For Dept.use only)
STATE SURCHARGE /.SD '
PLAN CHECK (612)4 e-44 s
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 8-- Q'�Y 9 ig V Z+
TOTAL AMOUNT DUE 6:c.SD
STRUCTURE USED AS
REFRG MARK BUILD PLUMB. HEAT INSTALL 0 ALTER REPAIR RE ROOF RESIDE MOVE WRECK NSAty-
SQUARES C rU
BY X
Owner 50 e cif/t o rel-
Architect Address /`/V 2 T" Af -&'"7 -
General Contractor C.g6/Y Oiler el g-D.)rirv‘ Address II 3/ —7 0'44' 'TILL S ,7`7-ey
Contractor Reg. No.
NO CONSTRUCTION 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 'O 00. Oa
BASEMENT
0 YES DETAILS OR REMARKS:
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to duo all work in�t accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit can�n be n
OWNER/CONTRACTOR SIGNED \ l/
OK'D BY