HomeMy WebLinkAboutME 1980-1766 Gas Furnace Permit No. /7(�p
S
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
STATE
Q d,� ///i (For Dept.use only)
BLDG.SURCHARGE �` �
y A
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date r/).-i 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG. ALTER ri IRE PAIR REROOF RESIDE I OVE WRECK i IGN
MARK BUILD PLUMB. HEAT
� INSI ALIL 1I( 1
SQUARES
BY X
Owner /E e_ Address
Architect ° Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
/S7
LOT
BL K ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES
DETAILS OR REMARKS: I } " I, „ 7 /
BASEMENT I fjo � ,4 r/-'.
0 NO i C7 /
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 •
OK'D BY