HomeMy WebLinkAboutPL 1980-1810 New Single Family FEE SCHEDULE Permit No. /p
CITY BLDG. .,2 / C1.9 CITY OF OAK PARK HEIGHTS Plan No.
CC d (For Dept. use only)
STATE SURCHARGE is
BLDG. PERMIT /'.
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT //�
METRO S.A.C. y ��/y� pate / 3 7 19
UTILITY CONNECTION A () (��,yl/YI
TOTAL AMOUNT DUE Q K itv� °/} 'J
STRUCTURE USED AS
REFRG HANG
MBARX BUILD PL HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE VE WRECK SIGN
SQUARES I Y
/ I (--lll Fl Fl ri I ^I 0 C
Owner .4) C 'r —A— Address
Architect Address
General Contractor -� _ -k-�/ / - Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ �fo -
S .
LOT K ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: 43 � .>J
BASEMENT
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