HomeMy WebLinkAboutPL 1981-1842 Sewer & Water Connection FEE SCHEDULE Permit No. /c57
CITY BLDG. CITY OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE
BLDG. PERMIT J.
CITY UTILITY `,0'�r�
EXTERNAL PLBG.AC� l
METRO S.A.G. APPLICATION FOR PERMIT _UTILITY CONNECTION Date
7 19S/
TOTAL AMOUNT DUE �O�•aD
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARESBY X
sn uJ e fr
Owner � � Address
Architect Address
General Contractor ��.__ • 0 / - — Address
Cont for Reg. No.
,.3/Z 2--
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
7 -s- - / lee
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:
J 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 villa a hefore permit can be issued
OWNER/CONTRACTOR SIGNS
OK'D BY