HomeMy WebLinkAboutPL 1989-3024 New Single Family ,!"N r
FEE SCHEDULE Permit No. / /
�1. oo CITY OF OAK PARK HEIGHTS Plan No.
LITY BLDG. 439 4439 (For Dept, use only)
STATE SURCHARGE I �O
PLAN CHECK 1,
CITY UTILITY _/i
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date - 4 19
TOTAL AMOUNT DUE 3 I. 5 0 S R CTURE USED AS 4
REFRG HANG
MARK BUILD PLUMB. ^- I L -- U � U M/B. HEAT INSTALL __ LL ALTER REPAIR REROOF RESIDE E E MOVE WRECK SIGN
SQUARES ' x I
BY x I /_ \ I I
Owner _slilrt . . Y c, Address
Architect Address �/
General Contractor S.1 • M - t I t wti � , ►✓b 0 I4 Address ''i s p Ai ki `e- U `e...-
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A. M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
ly'l C S ` S> Iva
LOT BLOCK ADDITION OR TRACT
3
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
- WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT IYLY ES,
❑ 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 _