HomeMy WebLinkAboutBP 198X-2414 Garage & Remodel FEE SCHEDULE Permit No.-
o. Y/y
CITY BLDG. 1 , p--v CITY • F OAK 'ARK HEIGHTS Plan No.
439 -4439 (For Dept. use only)
STATE SURCHARGE /f , d
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION � �n- s+ -r-o Date ?d
f. 19
TOTAL AMOUNT DUE /ob •
STRUCTURE USED AS
REFRG HAN,
MARK BUILD PLUMB. HEAT INSTALL � � ALTER REPAIR REROOF RESIDE MOVE WRECK SI
SQUARES Fl B Y X
Owner - 7 Address
Architect Address
General Contracto . .-4-4-) Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
- 7) 05 l
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES 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 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 _ _