HomeMy WebLinkAboutPL 1988-2754 New Single Family y
FEE SCHEDULE � ' Permit No 2S�
CITY OF OAK PARK HEIGHTS Plan No.
STATE
CITY BLD SURCHARGE G. d--U V 439 -4439 (For Dept. u.. only)
S"
PLAN CHECK
CITY UTILITY -
EXTERNALPLBG. A PPLICATION FOR PERMIT r�
METRO S.A.C.
UTILITY CONNECTION Date 3� 14' 1 9 Sri'
TOTAL AMOUNT DUE
�j STVUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HMIEEAAT�I INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
(S BY XES EL ❑ ❑ a a
/
Owner s2&L't'L'k4"_ . Address
Architect Address
General Contractor 7 �h• �G(tNth�, y _Address !.)QA
Contractor Reg. No. t �
NUMBER STREET I SIDE I BETWEEN WHAT CROSS STREETS
1 �*� ( s3 R 1v c,
O T BLOCK I ADDITION OR TRACT
3
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH i HEIGHT INO OFSTORIES I TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES I I DETAILS OR REMARKS:
I+
❑ 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 issue / d.
OWNER /CONTRACTOR SIGNED 1V�t _Q9�►/r/ rcGA�C.�C -��
OK'D BY _