HomeMy WebLinkAboutME 1980-1715 Furnace Replacement 2 / (. �� I "
FEE SCHEDULE Permit No. / 742
CITY BLDG.. CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE .SD n � /
(For Dept. use only)
BLDG. PERMIT •
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 3'vZ 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEE-- Ayy55Ly INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
—
SQUARES Imo( I I I I I `—
BY X
Owner D o n o , / J L f o S G 4 e ti Address J' } i-o7 ' S S .S1 A/J 00 /< /
Architect Address
General Contractor Address
Contractor Reg. No.
.hone- g39 7J37
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
BASEMENT 0 YES DETAILS OR REMARKS:
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 per mit can be issued.
OWNER 'CONTRACTOR SIGNED� } '� /di
OK'D BY