HomeMy WebLinkAboutBP 1987-2659 Pool n
FEE SCHEDULE ii�/
Permit No.
�Q s e CITY OF • K HEIGHTS Plan No.
CITY BLDG. j 439_49 - (For Dept, uee only)
STATE SURCHARGE .J r / S '
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. J.
UTILITY CONNECTION p Date 9,7
TOTAL AMOUNT DUE / 3, / S ~*0-6
STRUCTURE USED AS
REFRG HANG
BY X BUILD PLUMB. HEAT INSTALL ALTER REPAIR RER RESIDE MOVE WRECK S
7 7 II
IGN
SQUARES 7
Owner .S -� '=-4 F —�4._:-- Address
Architect Address
General Contractor �LLJ Address
Contractor Reg. No.
NO CONSTRUCTION TO START PRIOR TO 7:00 A.M.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/Yi -23 z'.s ,,11 >, .
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: /2is
0 NO
The undersigned hereby makes application for a permit to do Building Work herein specified, geeing to do all rk in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village efor ermit can be .
OWNER /CONTRACTOR SIGNED °i1 2^l GLa.
,,,_ OK'D BY _