HomeMy WebLinkAboutME 1989-3061 New Single Family Dwelling FEE SCHEDULE Permit No.
ao CITY OF OAK PA H Plan No.
CITY BLDG. 439_ / (For Dept. u. 0 1
� Y)
STATE SURCHARGE :—
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ��
UTILITY CONNECTION Date -/ '/ 1 ^ V
TOTAL AMOUNT DUE G STRUCTURE SED AS
REFRG HANG
MARK BUILD PLUMB. HEAT ' > STALL 11 ❑ ALTER REPAIR REa F RESIDE M OVE WRECK S IGN
SQUARES
Owner � �� Address
Architect / Address /
General C ontractor Address
Contractor Reg. No. l
NO CONSTRUCTION TO START PRIOR TO 7:00 A. M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14D &73
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMAT VALUE
STRUCTURE
O YES DETAILS OR REMARKS:
BASEMENT o
Q NO f U
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in7ict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be iss e .
OWNER / CONTRACTOR SIGNED / ��/
OWD BY _