HomeMy WebLinkAboutME 1987-2698 New Sgl Family FEE SCHEDULE Permit No.� %
CI ARK HEIGHTS Plan No.
CITY BLDG.
��in 439 -4439 (For Dept. use only)
�7
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT 13
METRO S.A.C. 1
Date
UTILITY CONNECTION
TOTAL AMOUNT DUE < S/ .� S 2 STRUCT ED AS
REFRG HANG
MARK BUILD PLUMB. HEEA /ATE INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X S ❑ 1� 1 a a a a o o 0 0
Owner / /! /� //� Address
Architect / Address _ /J
General Contractor / %��� j� Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET I SIDE BETWEEN WHAT CROSS STREETS
14174 5�/� /v f � 1
LOT BLOCK ADDITION OR TRACT
WIDTH i DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
WIDTH LENGTH I HEIGHT INO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE � I i
Q YES DETAILS OR REMARKS:
BASEMENT NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreei to d work in str ccordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before p t ca a eedd.
OWNER /CONTRACTORSIGNED._V� G ��
OK'D BY _ K7