HomeMy WebLinkAboutPL 1986-2496 Addition Fixtures FEE SCHEDULE Permit No. ---
^ `` �_�l� CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. / ' C ^C 439 -4439 (For Dept. use only)
STATE SURCHARGE �( i''°
PLAN CHECK 0 (`
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION • Date __ /// 19
TOTAL AMOUNT DUE 7i • S�/ \J>
STRUCTURE USED AS
REFRG HANG
MARK BUILD P�� rrr L --- U ��y MM �� B . HEAT INSTALL ALTER LT REE PAIR REROOF RESIDE JI MO OV V � E WRECK SIGN
SQUARES 1/1I t I t I 1 I
BY X /VII
Owner Address
Architect
General Contractor A .Lr--- Address
Contractor Reg. No.
** NO CONSTRUCTION TO START PRIOR TO 7:00 A.M. **
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK 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 DETAILS OR REMARKS:
❑ YES ..) 7--e7
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agr- '.g to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before pe ilp an be issued.
OWNER /CONTRACTOR SIGNED / / /
K,_ • 'D BY —