HomeMy WebLinkAboutPL 1988-2739 Move Sink Aging
FEE SCHEDULE *gee Permit No.
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 0^d 439-4439 (For Dept.use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. I�
UTILITY CONNECTION _) Date_ ��2In 19x4D(�
TOTAL AMOUNT DUEI.-C—c) STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner e ¢ /S Address
Architect Address
General Contractor • , . g ' Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER SSTQREET SIDE BETWEEN WHAT CROSS STREETS
�yS �o �E4h./d .
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
BASEMENT 0 YES DETAILS OR REMARKS:
Q NO �y
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work'n strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit can a Issued
OWNER-CONTRACTOR SIGNE j_L . / �' 04 ""
OK'D BY L