HomeMy WebLinkAboutME 1980-1809 New Single Family FEE SCHEDULE Permit No. /5/12?
CITY BLDG.. ,- ?0,a -0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t J 1p (For Dept. use only)
BLDG. PERMIT ,.0
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / Z — 3 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL -. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES OE U I ^
BY X I
Owner Zi Ai ahnt • a C Address
Architect Address
General Contractor .✓ /r i..4 • Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/Y8 C ( ti ,5--5- ,5--5- u
�
LOT BL ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ 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 permit can be issued.
OWNER /CONTRACTOR SIGNED
_ OK'D BY