HomeMy WebLinkAboutBP 1986-2522 Addition ,
FEE SCHEDULE ,//, / Permit No.r+ZsZ Z
i/� CITY O OAK PARK HEIGHTS Plan No.
CITU BLDG. 439-4439 - (For Dept.use only)
STATE SURCHARGE /7•5-
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APP3ICATION FOR PERMIT
METRO S.A.C. C!
UTILITY CONNECTION \`'� Date_ �a 19 bY '
TOTAL AMOUNT DUE X34 r/50 STRUCTURE USED AS
REFRG HANG
MARK BUILD LUMB. HEAT INSTALL �^ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES *—_ n n
BY X
Owner 42-1---- Address /Y3 ' . 2°4/U
Architect Address may[ ��/
General Contractor—57L-00-a--.‘-;7>.e," 1 �.4 Address/< ? 7 r .$i 1/5,/,>
Contractor Reg. No. C,----' -1-5-374( [1r1./ Y.3 L" 76 Co y
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/4' ' J-9,5/ ,1''
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH 1 SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT 1
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATEDVALUE
/
STRUCTURE 1 ___75 , to
GQ
BASEMENT
O YES DETAILS OR REMARKS:
CI NO
The undersigned hereby makes application for a permit to do Building Work as herein specifie to do all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village be rep it can a issued. l
OWNER/CONTRACTOR$yGNEt_
/� OK'D BY