HomeMy WebLinkAboutPL 1986-2545 Remodel - DQ FEE SCHEDULE Permit No. ..\..,25-1/5
�..� � CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439-4439 (For Dept. use only)
STATE SURCHARGE :
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date i/ �� 1 �1G
UTILITY CONNECTION
A5TOTAL AMOUNT DUE , 5-O
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES Z 1 I i 1I ,
J
BY X l
Owner Va2(e-2./7( Address f '95:2, O(} 6eri`4
Architect W
Address >
General Contractor Address 9 4(fd--- ~=-:A CI
,
Contractor Reg . No.
NUMBER I STREET SIDE BETWEEN WHAT CROSS STREETS
/ / sd7l ea. Com
LOT BLOCK ADDITION OR TRACT
i
WIDTH 1 DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
1
WIDTH LENGTH HEIGHT NO OF STORIES 1 TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE
i I 1
BASEMENT
❑ YES DETAILS OR REMARKS: /0 . /,
❑ 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 perm. ssued. , .
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OWNER 'CONTRACTOR SIGNEjyr___ r
OK'D BY