HomeMy WebLinkAboutOT 1981-1912 Fence FEE SCHEDULE Permit No. /
CITY BLDG.. cc CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE -a-' (For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date - 2 - 19 /
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK X 17,71 BUILD PLUMB. HEAT INSTALL n ALTER REPAIR REROOF
III II EROOF RESIDE MOVE WRECK SIGN
SQUABYRES t ^i I C
Owner c L �—�~ r �F � -' Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT OCK 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 ❑ YES
DETAILS OR REMARKS:
❑ 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 permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY