HomeMy WebLinkAboutPL 1987-2679 New Single Family Permit No.
FEE SCHEDULE Plan No
�� CITY OF OAK PARK HEIGHTS
CITY BLDG. _ —�Leie_ 439 -4439 (For Dent. only)
STATESURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. pate 1 9
UTILITY CONNECTION
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMS HEAT INSTALL
SQUARES
BY X ❑ I XI ❑ a ❑ o a o o o
/
Owner Address
Architect Address
/r 1..,, �y Address C — � 7
General Contractor max
r C�r� � Atx
Contractor Reg. No. 1 hr. 1p U4 4'`h`ti— ur--d— � uJV 7ur rT SIa
54
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
I WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT C YE
O
C) NO
in strict accordance with
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit ca�sued�
OWNER /CONTRACTOR SIGNED v
OK'D BY