HomeMy WebLinkAboutOT 1981-1850 Re-Roof FEE SCHEyD�J
CITY BLDG. /�_1 Permit No./"F✓v
CITY OF GAi 2ARK HEIGHTS Plan No.
(For Dept use only)
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. < /
UTILITY CONNECTION Date J�_ 7I 1t�J/
TOTAL AMOUNT DUE 12-2
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL(� ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I I ri .[Z F-1 U 1
BY X
Owner ip..-a1 a '
.zeta—>--) Address
Architect Address
General Conntraact�o.
or - QJIJ Address
Contr.ctor
_ 'Ac-C,
./U •
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
X50 .2,6. �Kt/ 3
LOTArADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIIMMATT-ED�UE
STRUCTURE �/ v+
O YES DETAILS OR REMARKS: ( J•5 pp°ID
BASEMENT
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 CANNER/CONTRACTOR
can be issued.
a
( NER/CONTRACTOR SIGNEu"v 'mi9G S e ^"�,..
OK'D BY