HomeMy WebLinkAboutBP 1987-2573 Pool FEE SCHEDULE / Permit No.'S"7 3
`j 7� o-e Cl " OF 'AK PARK HEIGHTS Plan No.
CITY BLDG. 439-4439 - (For Dept.one only)
STATE SURCHARGE `/102-
...S O
PLAN CHECK 3 7/, Fa
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date
19'7
TOTAL AMOUNT DUE Ye
G 3O STRUCTURE USED AS
REPRO HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK $f Olt
SQUARES I�/ I ^I ^� U I`^I I^I U ^)
BY X
OwnerAddress
Architect p p� Address
General Contractor J _ "`— . , Address
Contractor Reg. No.
8'
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT _NO OF STORIES II1 TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE I ��
BASEMENT
❑ 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 before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY