HomeMy WebLinkAboutPL 1984-2210 Addition FEE SCHEDULE Permit No. ,lC'
C Z- CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439-4439 (For Deptuse only)
STATE SURCHARGE i J C 1 �,
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PLAN CHECK i G y
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CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 3 c 19j .
TOTAL AMOUNT DUE 5. S-0 STRUCTUUSED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES -
BY A X
Owner -54443 Address /,l 7 5---Z 6 - �r�� /(. C
Architect Address
General Contractor 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 OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
0 YES DETAILS OR REMARKS:
0 N 1/
The undersigned hereby makes application for a permit to do Building Work as herein specified .greeing t. .. all ork in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef• - .-rmit, n b= is d.
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OWNER'CONTRACTOR SIGNED i/lam
OK'D BY
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