HomeMy WebLinkAboutBP 1987-2564 Re-Roof .ate ,....\
FEE SCHEDULE 2 oZ d d 7 Permit No.,,-5-..(v V
� �� CITY OF OAK PARK HEIGHTS (WV, Plan No.
�
CITY BLDG. 439-4439 i .S a v 8 3'' (For Dept.use only)
p
STATE SURCHARGE _ D d
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. `]
UTILITY CONNECTION q Date �� 19
/
TOTAL AMOUNT DUE �2.Se) STRUCTURE USED AS
REFRGHANG
BUILD PLUMB. HEAT ri
- INSTALL '�lI ALTER REPAIR RER OF RESIDE MOVEl WRECK SIGN
MARK I 1 I IFl __ I(—�11
SQUARES
BY X
Owner , kr\ r c e-I kQ Address 1 55— 0-13PQA 0031 C4'
Architect �- Address e
General Contractor be.-b-r- l ( '1 ncj Address ..5 �).(ith �+ 1UT A o,9-
Contractor Reg. No. V •
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 I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE IP / '/' J
0 YES DETAILS OR REMARKS:
BASEMENT 0
NO
The undersigned hereby makes application for a permit to do Building 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 ermit can be i ( /
I.
N �—
OWNER/CONTRACTOR SIG ,
OK'D BY_