HomeMy WebLinkAboutME 1979-1669 Wood Stove FEE SCHK.IQULe Permit No. /
CITY BLDG.
/': _Ll CITY OF OAK ;K H IGHTS Plan No.
STATE SURCHARGE s 4G ,( ////' )t / (For Dept.use only)
BLDG. PERMIT (( J' /7 ,
CITY UTILITY `
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date la/a 19�9
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. 0 ['" HANG
BY X BUILD PLUMB. HEAT INSTALL +� ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK SQUARES H I(—�JI �lF�,xJjll ri ll U
Owner M IC-kg-a-4- Address
Architect Address
General Contractor Address
Contractor Reg. No.
44311'1 C2—
NUMBER 4-11 STREET i 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 ` /Z1
BASEMENT ❑ YES
DETAILS OR REMARKS: 111 G L�
❑ 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 can be issued
OWNER/CONTRACTOR SIGNED Gy"\ L-.A.._1
OK'D BY