HomeMy WebLinkAbout1987-2686 Plumbing - New Single Family FEE SCHEDULE Permit No.
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. - 0 01 _gg39 (For Dept. u, only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date � / 19� �
UTILITY CONNECTION
TOTAL AMOUNT DUE 3 S U STRUCTURE USED AS
HANG
REFRG
ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BUILD PLUMB. HEAT INSTALL
MARK ��� ❑ a a ❑ a El a
SQUARES a
BY X
Owner Address
Architect Address
General Contractor r'F}r-rtW�P-A IrbS Address ysd �93s� C�LlKJ - �CQ —�
Contractor Reg. No. A L Q 1 h e e
IF
St1� 3 A
S } . c- L K& kJ SS" o
NUMBER STREET I SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WI H DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT 0 YES
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 c e issu /p/J
OWNER /CONTRACTOR SIGNED - : �
OK'D BY _