HomeMy WebLinkAboutME 1990-3206 Gas Furnace FEE SCHEDULE / / Permit No. - • /4
CITY OF OAK : -,, IGF Plan No.
CITY BLDG. 0 t 0-0 • >_ / (For Dept. t,ee only)
STATE SURCHARGE ec1 d /
PLAN CHECK /
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION ll Date ,, � _�' 7 19
TOTAL AMOUNT DUE .d •`S STRUCTURE USED d � AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ❑ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BY X
SQUARES V/ El a El E C Fl
�
Owner G Address �6 S l - - ~V g
Architect Address
General Contractor . Address
Contractor Reg. No.
NUMBER ` STREET SIDE BETWEEN WHAT CROSS STREETS
1(o #7 7 55 9
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 J��
DETAILS OR REMARKS: .�'Y lJ'!i2 `7�CLLsLe,
BASEMENT O NO 60i
The undersigned hereby makes application for a permit to do i lding Work as herein specified, agreeing to do all work in strict accordance with
all ac, of a Ciy of Oak Park H i h ontractors must register with the village • re permit an b ed.
t om` - OWNER /CONTRACTOR SIG CP
FOR PERAMT>S ONLY — OK'D BY _ VOA KRAUTS OW