HomeMy WebLinkAboutPL 1987-2646 New Single Family FEE SCHEDULE Permit No. T
CITY BLDG. Z c 7, v--r9 CITY OF OAK PARK HEIGHTS Plan No.
439 -4439 (For D. u. o I
STATE SURCHARGE ept
,� d n y)
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date_ 8 -24 -87 19—
27 . 5
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG RX BUILD P H� INSTALL ALTER REPAIR RER HANG
a 00F RESIDE MOVE WRECK SIGN
Sq UA RES J a ❑ r� /may \�� ❑ r ❑
Owner Address
Architect -sue -- LG- Address ^- �+ r •.�
General Contractor f�' -yCQi3�lr MS Address
Contractor Reg. No. �� ))N �1 Ste 1 7 L �
Nil ✓�7 '�Di` / '� >J N Z
_ f5z
UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH N O OF STORIES TYPE OF CONSTRUCTION ES TIMATED VALUE
STRUCTURE
BASEMENT O YES DETAILS OR REMARKS: i
Q 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
OWNER /CONTRACTOR SIGNED
OWD BY_