HomeMy WebLinkAboutPL 1988-2759 New Single Family FEE SCHEDULE Permit No., %'�5�
�. S�9 G, CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439 -4439 (For Dept. — only)
STATE SURCHARGE 'Ol PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. A PPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION C Date - 46 1 9 & ' R
TOTALAMOUNTDUE
STRIYCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
S Q S
BY X l�J ❑ a a ❑ a a
Owner r.l sro S Address YSU E Co&-L L 1Z-q p
Architect Address
General Contractor 2 - 1 - 11'K. A 44 Address at{0 CL ec 4�e,. S +, s"' -j,+q
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 KO 5Y s 3 RCS? -,, 4 N c)
LOT BLOCK I ADDITION OR TRACT
(6 3 + I
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE
BASEMENT
1y YES DETAILS OR REMARKS:
❑ 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 before permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY _