HomeMy WebLinkAboutME 1981-1861 Refrigeration Installation FEE SCHEDULE Permit No. /5 /' /
CITY BLDG. • /7% CITY OF OAK PARK HEIGHTS Plan No.
_ !' (For Dept. use only)
STATE SURCHARGE • - .+ V
BLDG. PERMIT
CITY UTILITY
EXTERNAL, PLBG. APPLICATION FOR PERMIT 7.,, - /
METRO S.A.C. r� ���
UTILITY CONNECTION Date f 19 el
TOTAL AMOUNT DUE "{ I
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. H EAT INSTALL �^ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X E5 I l II I 1 .__
Owner / r e 4-.1 ...-7eAl Address s' i
Architect Address
General Contractor C� �+ n ∎.,/ -"- �" �^ Address /f .. ..'e r..,04.
0 Co ctor Reg. No.
� e . y39 F9 Y o
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/pi a t-t • er ss,
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT ,
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS:
BASEMENT ❑
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified agreeing to do all work in �s -ict accorda with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef e p r 't can is d.
OWNER /CONTRACTOR SIGNED 'M. GC
OK'D BY
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