HomeMy WebLinkAboutPL 1986-2467 33 Unit Building y� .-c
FEE SCHEDULE Permit No. '2"T(7
3l�� P 1� CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439_49 (For Dept.use only)
STATE SURCHARGE -,SC)
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT _
METRO S.A.C.
UTILITY CONNECTION Date_ �/---- 19i
TOTAL AMOUNT DUE 37/ 1 Fi -� ` 9_1 / ... ..z'0' STRUCTURE USED AS
REFRG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK HSIGN
MARK
SQUA XES n 07 n n f1 n n I
Owner Address
Architect Address
General Contractor 0.fI�,4,,•_ " - Address
Contractor Reg. No.
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 OFSTORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ll
DETAILS OR REMARKS: la
L
BASEMENT 0 YES
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 be re permit can)bei ed.
OWNER/CONTRACTOR SIGNED `l (:Z
OK'D BY