HomeMy WebLinkAboutME 1976-1108 Furnace - Gas Permit No. //6 0
FEE SCHEDULE /
OF OAK PARK HEIGHTS Plan No.
VILLAGE BLDG. Q(C __ V (For Dept. use only)
STATE SURCHARGE 'SO
BLDG. PERMIT nZ;.00
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT 7(1
METRO S.A.C. 76
September 8
UTILITY CONNECTION Date [9
Residence
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL I
SQUARES �( 1
BY X
Owner,
Mr. Lyle Brassington Address 6257 Panama AvmnuQ North
Architect Address
agiltontractor Schwantes, Inc .
Address 619E Oasis Avenue North
Contractor Reg. No.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
6257 Panama Avenue North
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
$ 7.50 DETAILS OR REMARKS: I
BASEMENT YES 15.00
❑ NO .50 (icing Nn 2 I B2 I annoy gas f i-rad furnace;
$23.00 82,000 BTU input
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 Village of Oak Park Heights. Contractors must register with the village befSCHWANTES be issued.ore permit can
OWNER/CONTRACTOR SIGNED w_e, INC.
OK'D BY._ .LG/j- <-.('f
President