HomeMy WebLinkAbout1987-2620 Building - New Single Family FEE SCHEDULE Permit No. d
5 �� CITY RK HEIGHTS Plan No.
CITY BLDG. 439 -4 39 (For Dept, ull only)
STATESURCHARGE
PLAN CHECK
CITY UTILITY _(A ,W //��7�
EXTERNAL PLBG. I w APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTIO Date vz / 1 9S?
I `t � fir_- ✓ U R S .
TOTAL AMOUNT DUE — tT_R . CTUR ! USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ BY XES � ❑ ❑ ❑ ❑ ❑ 0 F a D
Owner � -1/1/- Address f
Architect p� Address
General Contractor �Ii Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET E BETWEEN WHAT CROSS STREETS
j f4
LOT BLOCK ADDITION OR TRACT
Q WIDTH DEPTH SIDE / LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH I HEIGHT INOOFSTORIES TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE / C�
YES DETAILS OR REMARKS:
BASEMENT /
❑ NO 1�P5� X000
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 sued,
OWNER /CONTRACTOR SIGNED L�*
OK'D BY _