HomeMy WebLinkAboutBP 1986-2518 Remodel '/ .2s/8
FEE SCHEDULE Permit No.
�/ CITY OF LAK P RK HEIGHTS Plan No.
CITY BLDG. T/. G"`& 439-4439 (For Dept.u..only)
STATE SURCHARGE A 37
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION � pQ Date VD 19 .
TOTAL AMOUNT DUE �' O/ STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALLrrr �_---A �� ^ ALTERIIREPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ^� I I I I f I 0 E �— Li
BY X l I ` I I , .__,
Owner � L__ Address
Architect Address
General Contrac . I_ , _; Address
Contractor Reg. No.
NUMBER STREET 1 SIDE BETWEEN WHAT CROSS STREETS
.�;G3 0 --,--,
LOT ' BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
p YES DETAILS OR REMARKS:
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified reeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village beore r it can b i d. -
OWNER/CONTRACTORSIGNED
0 BY—