HomeMy WebLinkAboutME 1986-2551 Furnace Replacement •
FEE SCHEDULE elf/ Permit No. .7LC,57
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 0'00 4394439 (For Dept.use only)
STATE SURCHARGE .\5-0
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / 2'/J 19116
TOTAL AMOUNT DUE 3a.A-0 STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB.�LUMHEAT INSTALL _^ __ ALTER REPAIR REROOF RESIDE MOVE WRECK1SIGN
SQUARES I 1 4 7 fl _— _J U
BY X l .._ Li —�
Owner rT 4g4/ ....---,4‘,/,° --.7--
Address 6 'Y2 .1--(/ e.44,/ 7,2 -
Architect �-- // Address
General Contractor S.'/ A / Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
ir J IP tri
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
0 YES DETAILS OR REMARKS:
BASEMENT
0 NO
/)
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work i strict accord nce with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit can bei
OWNER/CONTRACTOR SIGNED
OK'D BY