HomeMy WebLinkAboutPL 1980-1792 New Plumbing FEE SCHEDULE Permit No. /7 ,,z.--
CITY BLDG. CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept.use only)
BLDG. PERMIT
CITY UTILITYIrf
EXTERNAL, PLBG. 4/...4-5--;
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METRO S.A.C. ..CS;tre APPLICATION FOR PERMIT
UTILITY CONNECTION 00.06 Date /d "3 19 A
TOTAL AMOUNT DUE 8'0 /•Q
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN�
SQUARES \/' IJ
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8Y X x L
Owner d„, Az AL.v-c-2 -L-cA, Address
Architect Address
General Contractor -(2J >TV nom. Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT 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:
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 befor ermit ca is ed.
OWNER/CONTRACTOR SIGNED!
OK'D BY