HomeMy WebLinkAboutPL 1980-1693 New Single Family FEE SCHEDULE
Permit No. 1
CITY BLDG. eZ:Q'yt) CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE la CO AS-40 (For Dept. use only)
BLDG. PERMIT e nteZ
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. /p
UTILITY CONNECTION /) �.( ( (/� �rj Z�1„t j'�. Date 2 - S 19
TOTAL AMOUNT DUE C
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES X Ti n I 1 P1 C C 7 C C
Owner -/ / i. tili,..r' ' l Address
i
1
Itect Address
..--- -
ontractor - - e-/` w1b` -0 Address
Contractor Reg. No.
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
3 G d DETAILS OR REMARKS: f 7 �P_ s
BASEMENT YES ,r, , D d `��"_ ►'^
Q NO ,.SC
d /• ■D
The undersigned hereby makes application for a permit to do Building Work as herein specified reeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village be rmit can be J
OWNER /CONTRACTOR SIGNED
OK'D BY