HomeMy WebLinkAboutBP 1986-2535 Remodel - DQ FEE SCHEDULE / Permit No.,=,2.5.3•-S
Si 4..2,5 CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439_4439 (For Dept.use only)
STATE SURCHARGE ....3 7..5-0
PLAN CHECK JJ
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CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. [/ ��//
UTILITY CONNECTION �7�7�-7 •
Date /��7 19 q•e'
/
TOTAL AMOUNT DUE / /• /I •.,, c STRUCTURE USED AS
(J REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES „0 [1 l _. , U U
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Owner .S�....-y / o�csz�_ Address
Architect J 0,-/A..-4.-
y Address
General Contractor..4VZL ' Address -- --e.—Jv._ :�n
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Contractor Reg. No.
NUMBER / STREET SIDE ` BETWEEN WHAT CROSS STREETS
I1--5----,2,r li0 it
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES _TYPE OF CONSTRUCTION yESTIMATED VALUE
STRUCTURE r�_�`
BASEMENT 0 YES l✓ 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 befo permit ca a issued. (/J -, _ A
OWNER.CONTRACTOR SIGNFO... . /«d/ t
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