HomeMy WebLinkAboutBP 1986-2517 Remodel FEE SCHEDULE 1j� / Permit No.("2
CITY OF OAK'ARK HEIGHTS Plan No. s/7
CITY BLDG. yS ,ei--e) 439-4439 (For Dept.use only)
STATE SURCHARGE / e--n�
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �/d y
UTILITY CONNECTION Date q2�
TOTAL AMOUNT DUE yb//',-.) STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REQ F RESIDE MOVE WRECK SIGN
SQUARES `f^I �I--',JI
BV X
El
Owner eo .1/ �� 1fer.--(_"-- Address
Architect11111Address
i
General Contract. __ _ ._-_ __ /� G • Address
/
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
77 S ,A...e..4.----i
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 • f
!mss
BASEMENT
0 YES DETAILS OR REMARKS:
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeint to do all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before per illi be is ed.
OWNER/CONTRACTOR SIGNED _C\-•"--
/
OK 0 BY_