HomeMy WebLinkAboutOT 1981-1916 Repair-Reside FEE SCHEDULE Permit No. /
CITY BLDG. A// CITY OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. //� 7
UTILITY CONNECTION Date 1931
TOTAL AMOUNT DUE r'-+
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES n
BY X /4 �-
Owner . --- (9: Address
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 3o-9
0 YES DETAILS OR REMARKS: t/
BASEMENT ❑
NO
The undersigned hereby makes application for a permit to do Building Work as herein specifi •,a•j-eing o.. lo i st t accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the vi age bef. p: mit • -e� ed
OWNER/CONTRACTOR SIGNER
OK'D BY