HomeMy WebLinkAboutPL 1987-2657 Plumbing Fixtures Addition 'i
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FEE SCHEDULE Permit No. o�G S - 7
/ CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. .(' • 439 -4439 (For Dept, u. only)
STATESURCHARGE
PLAN CHECK
CITY UTILITY +
EXTERNAL PLBG. APPLICATION FOR y PERM I T
METRO S.A.C. Date
UTILITY CONNECTION
TOTAL AMOUNT DUE / ��— d STRUCTURE USED AS
REFRG HANG
R REPAIR R OF R K SIGN
MARK BUILD PLUMB. HEAT INSTALL ALTER MOVE WRECK
SO BY X ❑ ❑ ❑ ❑ a a a ❑ 1:1 a ❑ ❑ UAR
Owner Address
Architect Address
General Contractor z� Address
Contractor Reg. No.
NO CONST RUCIIQN,TO START PRIOR TO 7- 0 0 -L N
N STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
j
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION EST IMATED VALUE
STRUCTURE
i
O YES DETAILS OR REMARKS:Q, /
BASEMENT ❑
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
OWD BY _