HomeMy WebLinkAboutPL 1987-2687 New Single Family FEE SCHEDULE Permit No.
a,1 CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439 -4439 (For DeP'.
STATE SURCHARGE
Si
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PLAN CHECK ��
CITY UTILITY a
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. A
UTILITY CONNECTION Date _ 9
TOTALAMOUNT DUE �' S STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB, HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ BY XES D X D D D D D D D D D D D
Owner Address
Architect Address
General Contractor 6NWAN' Taros. Address yS0
Contractor Reg. No. e. Ohl a q0 C e< 5 re e +
U S LL i t-e 3 q
:5} jp4u.L M _
NUMBER STREET SIDE BETWE WHAT CROSS STREETS
o-t•e. 1v o
LOT BLOCK ADDITION OR TRACT
1 d I
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS: �
❑ 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 ca is?
OWNER /CONTRACTOR SIGNED /�/
t OK'D BY _