HomeMy WebLinkAbout1987-2629 Building - New Single Family / Permit No. 2
FEE SCHEDULE Plan No.
CITY OF OAK PARK HEIGHTS �F Dept. use mly)
CITY BLDG. ��� UO 439-4439 (F-
STATE SURCHARGE
PLAN CHECK - 7 5 - ' G, ��
/
CITY UTILITY
EXTERNAL PLBG. C' APPLICATION FOR PERMIT
METRO S.A.C. 5 - 5 D Date — 1 917
UTILITY CONNECTION �+����•
TOTAL AMOUNT DUE �C_i 5 STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUIL PLUMB. HEAT INSTALL a a ❑ ❑ a
SQUARES a ❑ ❑ a ❑
By X
Owner C'n - Address
Architect �� ryn"Q Address
General Contractor Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M. —
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
ADDITION OR TRACT
LOT BLOCK
' (3JiQb, O rich
WIDTH
DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION
ESTIMATED VALUE
STRUCTURE � ` ao
,..,/ DETAILS OR REMARKS:
BASEMENT 'e YES
❑ 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 - 4 Q W ( 6
OK'D BY _