HomeMy WebLinkAboutBP 1987-2558 Addition FEE SCHEDULE //: Permit No. , 5-5
��j g CITY OF OAK PARK HEIGHTS Pion No.
CITY BLDG. D`^. .S. t1--t) 439-4439 (For Deptuse only)
STATE SURCHARGE j/ • `t—ge
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. _ [1 �j
UTILITY CONNECTION Date �� 19_51..,
TOTAL AMOUNT DUE ' Lrd •
STRUCTURE USED AS
REFRG HANG
MARK BUI PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
'V
Owner N QT/HE2 `3-14 Tt- s Pe)")‘7/2Z,Address 4/413 2 cQ "� r�- /f 'LZ--
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE
/,,� BETWEEN WHAT CROSS STREETS
OX zi
LOT BLOCK 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 /3 x /7 DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein spec'fie• .greeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village •• • • rmit ca/•e is,
SIGNED
i
moor
/ OK'D BY
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