HomeMy WebLinkAboutPL 1989-2983 New Single Family FEE SCHEDULE Permit No. PPz
CITY OF OAK PARK HEIGHTS Pl No.
STAY BLDG. 439 -4439 (For Dept. u only)
STATE SURCHARGE , _�� .
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT ,v
METRO S.A.C. n
UTILITY CONNECTION Date � 1q —t—
�
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG
MARK BUILD PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE HANG
SQBYx BY S
WRECK ❑ �, ❑ ❑ ❑ D ❑ ❑ ❑ ❑ ❑ ❑ ❑
Owner Address
Architect Address `
General Contractor � �� ✓ Address �/�� pl� 4 k tit/ ' '4
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A. M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
!L/❑3 1 5<4 - I' h A.
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT vES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stric accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before p mit can be issued^ � ek � Jti
OWNER /CONTRACTOR SIGNED " ` efL " /
OK'D BY