HomeMy WebLinkAboutME 1984-2223 Fan & Steam Coils and Exhaust FEE SCHEDULE I~ '\ Permit No -
72---2-'7)
l CITY OF 0 K ARK HEIGHTS Plan No.
CITY BLDG. / C ,
439-4439 (For Deptuse only)
STATE SURCHARGE S C-'
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. < [1
UTILITY CONNECTION Date C 19/a
TOTAL AMOUNT DUE S O� J d
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner • S. feAddress
Architect Address
General Contractor Address 7//
Contractor Reg. No. 1i%�t''z ' S S 5472 a
- CJ
1
NUMBER STREET SIDE I BETWEEN WHAT CROSS STREETS
/5 )tom
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 O YES
DETAILS OR REMARKS: /y �L `
Q NO .- -g2vL-1 e
6 —i
The undersigned hereby makes application for a permit to do B ding 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 a issued. moi/
,OWNER/CONTRACTOR SIGNED�" � ii .
i
OK'D BY_ i � �,