HomeMy WebLinkAboutBP 1987-2630 New Single Family l
FEE SCHEDULE / Permit No.
41,5-q ` S C CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439 -4439 (Fo, Dept. u. only)
STATE SURCHARGE .27 //)) . J�5
PLAN CHECK
CITY UTILITY �t / 5 cc
EXTERNAL PLBG. J� -G L' APPLICATION FOR PERMIT 8� 3
METRO S.A.C.
UTILITY CONNECTION JOT, Date_ 19
TOTAL AMOUNT DUE I ys ' jS
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB, HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
S Q S
BY X l_J ❑ ❑ ❑ a a a lJ a
Owner Gla � / w Address ,( —
Architect ,J)cw�Q Address
General Contractor 0 Jyy V — Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH // � LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE '..
STRUCTURE 1(or �-J !�lO� -
BASEMENT
YES { !LL 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 be issued. I
OWNER /CONTRACTOR SIGNED 1
OWD BY _