HomeMy WebLinkAbout1987-2658 Fixture Additions FEE SCHEDULE Permit No. r S /—
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. rJ—J 439 -4439 (For Dept. use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION / Date_ 195?
TOTAL AMOUNT DUE /✓ LO o/ 6 STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X S ❑ ❑ ❑ El El El El ❑ El ❑ ❑
Owner Address
Architect Address
General Contractor w .✓ e-' �tr—° Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BL CK ADDITION OR TRACT
WfOTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT 17 NO
DETAILS OR REMARKS:,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 can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY _ ,