HomeMy WebLinkAboutBP 1980-1801 Pool FEE SCHEDULE Permit No. /in I
CITY BLDG. 536,40 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ? -D0 Gp7 '1n (For Dept. use only)
BLDG. PERMIT cq/•�(/
CITY UTILITY
EXTFRNAL PLBG• APPLICATION FOR PERMIT // -
METRO S.A.C. .+f�� �� —�- / c r y- / �
UTILITY CONNECTION Date Cy -- �7 19K/
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
6 RX
BUILD PLUMB. HEAT INSTALL ® ALTER REPAIR RE� F RESIDE MOVE WRECK SIGN
SQUARES 7 1-1 ^.
Owner 1 -1L..4 - ; ' / Address ,44:21 5 -4.
■ Arc de I ae Address
General Contractor / . /t ,// om Address w01 d St./44,-6 6
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
p93 SG '
I
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 O0O 0 _'
BASEMENT
❑ YES DETAILS OR REMARKS: !GGlIY��
❑ 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 bef re permit c9, b / e / I ed.
OWNER /CONTRACTOR SIGNED`I' � 0 ' "`� `�-' — a
au »' C t-0 .
OK'D BY