HomeMy WebLinkAboutOT 1981-1835 Fence Permit No. /r/' S�
FEE SCHEDULE
CITY BLDG.• CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION • Date 19ff/
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK
BY X BUILD PLUMB. HEAT INSTALL � ALTER REPAIR RE ROOF R RESIDE MOVE WRE SIGN
� SQUARES l ^I U
Owner tF Q— Address
Architec Address
General Contractor atti-Pe -4---'1 Address
Contractor Reg. No.
Phane
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
15(76 ,
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 a•
0 YES DETAILS OR REMARKS:
(1J "
BASEMENT 0
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 permitssue .
OWNER /CONTRACTOR SIGj)Q
OK'D BY