HomeMy WebLinkAboutME 1989-3064 New Single Family 0 .
FEE SCHEDULE CITY OF OAK PARK HE,,,::),, Permit No.
/ Plan No.
CITY BLDG. 7 • C7-7,) BOX #200 / OAK PARK HEI 1 ∎ (For Dept• use only)
STATE SURCHARGE . •
PLAN CHECK (61
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT ply
METRO S.A.C. (/
UTILITY CONNECTION ,, Date 19
TOTAL AMOUNT DUE �" S V / STRUCTURE USED AS
REFRG
RX BUILD PLUMB. HEAT INSTALL I` ^!I a ALTER REPAIR RER RESIDE MOVE WRECK BUILD MA
X I D
Owner x– /.0—&- -.2---
Architect Address
General Contractor Ci Qra c - Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ yz C/S( ...3 '=e
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
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 before permit can be is ed.
OWNER /CONTRACTOR SIGNED
D BY
•