HomeMy WebLinkAboutBP 1986-2458 Steps & Sidewalk FEE SCHEDULE O "/ Permit No. ° /J
CITY OF OA PARK HEIGHTS Plan No.
CITY BLDG. /Y 439 -4439
(For Dept. nee only)
STATE SURCHARGE : _1 5 '
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date y /
19'f: ...._
TOTAL AMOUNT DUE / fi 3 e,
STRUCTURE USED AS
RE FRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUA XES H fl _ Fl P __ P U U C
Owner %.. ... ) 2 1 �Z Address
Architect Address
General Contractor Jt.c' A -, A — Address
Contractor Reg. No.
NUMIBER STREET SIDE BETWEEN WHAT CROSS STREETS
/Yet IC ) , .sue `'
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE _
STRUCTURE 0,
0 YES DETAILS OR REMARKS:
BASEMENT p
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 perm ca issued.
OWNER /CONTRACTOR SIGNED / ---e'7"' »mil - ���
OK'D BY_