HomeMy WebLinkAboutOT 1980-1747 Fence `' ° • 7 f7
�- 7/y Y Permit No.
FEE SCHEDULE
CITY BLDG. <iire CITY OF ' K`' RK HEIGHTS Plan No.
STATE SURCHARGE i (For Dept. use only)
BLDG. PERMIT �j / /
CITY UTILITY
EXTFRNA PLBG• APPLICATION FOR PERMIT
METRO S.A.C. 7- // 19t 2
UTILITY CONNECTION Date
C S-- 11 2 5 :-A... , ..../ TOTAL AMOUNT DUE `
TRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INS ALTER REPAIR REROOF RESIDE f (MOOVVE WRECK SIGN
$a BY X ❑ l 1 I 1 0
/Owner gu Q ( Address /4 r f9 Ate'-
Architect Address
General Contractor Address
Contractor Reg. No.
A .s. 09-47g3/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
x
/175 ...-7?%:
LOT BLOCK ADDITION OR TRACT
(D
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
•
STRUCTURE X
*5 .---- 0 -- 0 •a
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 mit c n be issued.
OWNER /CONTRACTOR SIGNE -,----'
— OK'D BY