HomeMy WebLinkAboutPL 1980-1730 New Single Family FEE SCHEDULE Permit No. / . D
CITY BLDG.. ��`� /' CITY OF 0 P RK HEIGHTS Plan No.
STATE (For Dept. use only)
TATE SURCHARGE .So
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �' : —OZ
UTILITY CONNECTION .�/ (S X Date ...R/1 / �ila 19SO
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X ( 1 n n n n n n I i E o
Owne � /10":" Address /yy:Q 3
Architect Address
General Contractor Address
i l�f�(�'
Contractor Reg. N
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
)yq n 5t 3
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: q
BASEMENT ❑
NO
The undersigned hereby makes application for a permit to do Building Work as herein specifi-. ing to be do allwork in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village b> I t can lC T
OWNER/CONTRACTOR SIGNE •
OK'D BY